Deformations During and Post Stenting of a Diseased Coronary Artery Phantom: An In Vitro Study

2009 ◽  
Author(s):  
Ronan Finn ◽  
Tim McGloughlin ◽  
Patrick Delassus ◽  
Liam Morris
Keyword(s):  
Coronary Artery ◽  
In Vitro Study ◽  
Clinical Problem ◽  
Coronary Stenting ◽  
Long Term Effects ◽  
Stent Restenosis ◽  
Symptomatic Coronary Artery Disease ◽  
Artery Disease ◽  
The Right

World-wide, deaths from cardiovascular diseases exceed those caused by cancer, infectious disease and trauma [1]. Coronary stenting is an established treatment for patients with symptomatic coronary artery disease. Although stents reduce restenosis rates in carefully selected lesions, in-stent restenosis remains a recognized clinical problem. Restenosis, defined as “the arterial healing response after injury during transluminal coronary revascularisation” [2], has been the principal drawback of coronary stenting since its conception nearly 30 years ago [3]. While there have been many studies on the short and long term effects of coronary artery stenting, less is known of the injury caused by the balloon and stent during the stenting process. The objective of this study is to fabricate compliant and morphologically realistic models of the right coronary artery (RCA) for preclinical bench-top testing of intraluminal stents, in diseased cases.

Mechanistic insights into the link between visfatin gene C-1535T polymorphism and coronary artery disease: an in vitro study

2011 ◽  
Vol 363 (1-2) ◽  
pp. 315-322 ◽  
Author(s):  
Yong-Sheng Wang ◽  
Wei Gao ◽  
Hong-Fen Li ◽  
Ze-Mu Wang ◽  
Jun Zhu ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
In Vitro Study ◽  
Vitro Study ◽  
Artery Disease

Giant right coronary artery aneurysm

2020 ◽  
Vol 28 ◽  
pp. 1-3
Author(s):  
Alexandre Bonfim ◽  
Ronald Souza ◽  
Sérgio Beraldo ◽  
Frederico Nunes ◽  
Daniel Beraldo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Clinical Course ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Coronary Artery Aneurysms ◽  
History Of ◽  
Artery Disease ◽  
The Right

Right coronary artery aneurysms are rare and may result from severe coronary disease, with few cases described in the literature. Mortality is high, and therapy is still controversial. We report the case of a 72-year-old woman with arterial hypertension, and a family history of coronary artery disease, who evolved for 2 months with episodes of palpitations and dyspnea on moderate exertion. During the evaluation, a giant aneurysm was found in the proximal third of the right coronary artery. The patient underwent surgical treatment with grafting of the radial artery to the right coronary artery and ligation of the aneurysmal sac, with good clinical course.

Prognosis of symptomatic coronary artery disease in young adults aged 40 years or less

1987 ◽  
Vol 60 (16) ◽  
pp. 1269-1272 ◽  
Author(s):  
Lloyd W. Klein ◽  
Jai B. Agarwal ◽  
Michael B. Herlich ◽  
Therese M. Leary ◽  
Richard H. Helfant
Keyword(s):  
Coronary Artery Disease ◽  
Young Adults ◽  
Coronary Artery ◽  
Symptomatic Coronary Artery Disease ◽  
Artery Disease

scholarly journals Changing paradigm for treatment of heavily calcified coronary artery disease. A complementary role of rotational atherectomy and intravascular lithotripsy with shockwave balloon: a case report

2020 ◽  
Author(s):  
Shana Tehrani ◽  
Sudhir Rathore ◽  
Vinod Achan
Keyword(s):  
Coronary Artery ◽  
Interventional Cardiology ◽  
Rotational Atherectomy ◽  
Stent Restenosis ◽  
Case Summary ◽  
Stent Expansion ◽  
Complementary Role ◽  
Artery Disease ◽  
Stenotic Lesions

Abstract Background Management of heavily calcified coronary arteries is still a major challenge in interventional cardiology. Inadequate stent expansion in calcific lesions is the single most important predictor of stent thrombosis and in-stent restenosis. Rotational atherectomy (RA) is an important tool to modify the calcium burden but is associated with limitations and requires specific skills. Intravascular lithotripsy (IVL) is a novel technique to treat calcified stenotic lesions and has been proposed as an alternative to RA with promising results. Case summary We report a case of a patient with severely calcified right coronary artery stenosis successfully treated with combination of RA and IVL. Discussion In this case, we demonstrate that the RA and IVL are complementary strategies, not sufficient on their own and not alternative to each other.

scholarly journals Debate of Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in a Multimorbidity Patient with Complex Coronary Lesions

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sotirios Mitsiadis ◽  
Nikolaos Miaris ◽  
Antonios Dimopoulos ◽  
Anastasios Theodosis-Georgilas ◽  
Spyridon Tsiamis ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Syntax Score ◽  
Complete Revascularization ◽  
Total Occlusion ◽  
Diagonal Branch ◽  
Coronary Lesions ◽  
Artery Disease ◽  
The Right

Background. While complete revascularization in coronary artery disease is of high priority, the method of implementation in patients with complex coronary lesions and multiple comorbidities is not directed by published guidelines. Case Presentation. A 53-year-old female with a chronic total occlusion of the right coronary artery and a bifurcation lesion of the left anterior descending artery and the first diagonal branch, presented with non-ST elevation myocardial infarction. Her past medical history concerned thymectomy and prior chest radiation for thymoma, myasthenia gravis, peripheral artery disease, and cervical cancer treated with surgery and radiation. Although SYNTAX score II favored surgical revascularization, the interventional pathway was finally successfully followed. However, it was complicated with vessel perforation and tamponade managed with pericardiocentesis. Conclusion. Comorbidities are not all involved in common risk models and require individualization until more evidence comes to light.

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