Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening

Seventy-four-year-old male patient admitted with non-ST-elevation acute myocardial infarction. The coronary angiography performed revealed the presence of right coronary artery stenosis with a giant coronary artery aneurysm (CAA) and high thrombus burden (figure 1A). Dual antiplatelet and anticoagul...

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Autores principales:	Ariana Gonzálvez-García, Alfonso Jurado-Román, Santiago Jiménez-Valero, Guillermo Galeote, Raúl Moreno, José Luis López-Sendón
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/c51f6b358f2d4cb39947b8901279e85c
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id	oai:doaj.org-article:c51f6b358f2d4cb39947b8901279e85c
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spelling	oai:doaj.org-article:c51f6b358f2d4cb39947b8901279e85c2021-11-08T09:09:16ZIncomplete giant aneurysm exclusion due to PK-Papyrus stent shortening10.24875/RECICE.M200001842604-7322https://doaj.org/article/c51f6b358f2d4cb39947b8901279e85c2021-11-01T00:00:00Zhttps://recintervcardiol.org/en/index.php?option=com_content&view=article&id=551https://doaj.org/toc/2604-7322Seventy-four-year-old male patient admitted with non-ST-elevation acute myocardial infarction. The coronary angiography performed revealed the presence of right coronary artery stenosis with a giant coronary artery aneurysm (CAA) and high thrombus burden (figure 1A). Dual antiplatelet and anticoagulation therapies were recommended for its exclusion in a staged procedure. After confirmation of thrombus reduction (figure 1B), predilatation was attempted and both the length of the CAA (40 mm) and the landing zone were measured on the intravascular ultrasound (IVUS) (figure 1C). From proximal to distal, two 5 mm x 26 mm-PK-Papyrus covered coronary stents (PCS) (Biotronik, Switzerland) were deployed. The overlapping stent zone was confirmed using the StentBoost imaging modality (Philips Medical Systems, Nederland) (figure 1D) and the stent was deployed under fluoroscopic guidance in the absence of any respiratory movements. The subsequent angiography performed revealed an incomplete CAA exclusion (figure 1E) despite postdilatation with a 5.5 mm noncompliant balloon (NCB). The IVUS confirmed the existence of a gap between both stents due to stent shortening (E2, figure 1E and video 1 of the supplementary data). Another 5 mm × 15 mm PCS was deployed followed by postdilatation with a 5.5 mm NCB. Both the angiography and the IVUS confirmed the...Ariana Gonzálvez-GarcíaAlfonso Jurado-RománSantiago Jiménez-ValeroGuillermo GaleoteRaúl MorenoJosé Luis López-SendónPermanyerarticleMedicineRENESREC: Interventional Cardiology (English Ed.), Vol 3, Iss 4, Pp 328-329 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Medicine R
spellingShingle	Medicine R Ariana Gonzálvez-García Alfonso Jurado-Román Santiago Jiménez-Valero Guillermo Galeote Raúl Moreno José Luis López-Sendón Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
description	Seventy-four-year-old male patient admitted with non-ST-elevation acute myocardial infarction. The coronary angiography performed revealed the presence of right coronary artery stenosis with a giant coronary artery aneurysm (CAA) and high thrombus burden (figure 1A). Dual antiplatelet and anticoagulation therapies were recommended for its exclusion in a staged procedure. After confirmation of thrombus reduction (figure 1B), predilatation was attempted and both the length of the CAA (40 mm) and the landing zone were measured on the intravascular ultrasound (IVUS) (figure 1C). From proximal to distal, two 5 mm x 26 mm-PK-Papyrus covered coronary stents (PCS) (Biotronik, Switzerland) were deployed. The overlapping stent zone was confirmed using the StentBoost imaging modality (Philips Medical Systems, Nederland) (figure 1D) and the stent was deployed under fluoroscopic guidance in the absence of any respiratory movements. The subsequent angiography performed revealed an incomplete CAA exclusion (figure 1E) despite postdilatation with a 5.5 mm noncompliant balloon (NCB). The IVUS confirmed the existence of a gap between both stents due to stent shortening (E2, figure 1E and video 1 of the supplementary data). Another 5 mm × 15 mm PCS was deployed followed by postdilatation with a 5.5 mm NCB. Both the angiography and the IVUS confirmed the...
format	article
author	Ariana Gonzálvez-García Alfonso Jurado-Román Santiago Jiménez-Valero Guillermo Galeote Raúl Moreno José Luis López-Sendón
author_facet	Ariana Gonzálvez-García Alfonso Jurado-Román Santiago Jiménez-Valero Guillermo Galeote Raúl Moreno José Luis López-Sendón
author_sort	Ariana Gonzálvez-García
title	Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
title_short	Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
title_full	Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
title_fullStr	Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
title_full_unstemmed	Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening
title_sort	incomplete giant aneurysm exclusion due to pk-papyrus stent shortening
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/c51f6b358f2d4cb39947b8901279e85c
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Incomplete giant aneurysm exclusion due to PK-Papyrus stent shortening

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