Interventional Traps in Ectatic Coronary Arteries: A Case Report
Coronary artery ectasia or aneurysms are dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal. Blood flow through such arteries is disturbed and turbulent, which, with the activation of endothelium, leads to chronic thrombosis in the blood vessel wall. Pe...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2024-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/464204 |
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| author | Krešimir Gabaldo Marijana Knežević Praveček Domagoj Vučić Domagoj Mišković Ivan Bitunjac Ivica Dunđer Božo Vujeva Blaženka Miškić Katica Cvitkušić Lukenda |
| author_facet | Krešimir Gabaldo Marijana Knežević Praveček Domagoj Vučić Domagoj Mišković Ivan Bitunjac Ivica Dunđer Božo Vujeva Blaženka Miškić Katica Cvitkušić Lukenda |
| author_sort | Krešimir Gabaldo |
| collection | DOAJ |
| description | Coronary artery ectasia or aneurysms are dilatation of an arterial segment to a diameter
at least 1.5 times that of the adjacent normal. Blood flow through such arteries is disturbed and
turbulent, which, with the activation of endothelium, leads to chronic thrombosis in the blood vessel wall.
Percutaneous coronary interventions in ectatic / aneurysmal vessels carry a high risk of complications,
primarily a “no-reflow” phenomenon. No-reflow is common in patients with acute coronary syndrome,
especially ST elevation myocardial infarction (STEMI). In this article, we present the occurrence of the
no-reflow phenomenon in a stable patient undergoing percutaneous intervention due to a significant
stenosis of the aneurysmally altered right coronary artery. Despite the rapid placement and optimization
of stents and the applied drug therapy combined with thromboaspiration periprocedurally, it was not
possible to establish TIMI 3 flow. However, after the initial failure and development of periprocedural
STEMI, the patient was successfully stabilized with unexpectedly good recovery of infarcted myocardial
function. Control coronarography 6 weeks after the initial event confirmed a proper stent patency with
normal TIMI 3 flow. |
| format | Article |
| id | doaj-art-96ea3c9faf3342cbbd6c3b9c72d29b78 |
| institution | OA Journals |
| issn | 0353-9466 1333-9451 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj-art-96ea3c9faf3342cbbd6c3b9c72d29b782025-08-20T02:15:11ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512024-01-0163.Supplement 1707410.20471/acc.2024.63.s1.13Interventional Traps in Ectatic Coronary Arteries: A Case ReportKrešimir Gabaldo0Marijana Knežević Praveček1Domagoj Vučić2Domagoj Mišković3Ivan Bitunjac4Ivica Dunđer5Božo Vujeva6Blaženka Miškić7Katica Cvitkušić Lukenda8Department of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; University Postgraduate Interdisciplinary Doctoral Study Programme in Molecular Biosciences, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaDepartment of Internal Medicine, Dr. Josip Benčević General Hospital, Slavonski Brod, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; University Postgraduate Interdisciplinary Doctoral Study Programme in Molecular Biosciences, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaCoronary artery ectasia or aneurysms are dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal. Blood flow through such arteries is disturbed and turbulent, which, with the activation of endothelium, leads to chronic thrombosis in the blood vessel wall. Percutaneous coronary interventions in ectatic / aneurysmal vessels carry a high risk of complications, primarily a “no-reflow” phenomenon. No-reflow is common in patients with acute coronary syndrome, especially ST elevation myocardial infarction (STEMI). In this article, we present the occurrence of the no-reflow phenomenon in a stable patient undergoing percutaneous intervention due to a significant stenosis of the aneurysmally altered right coronary artery. Despite the rapid placement and optimization of stents and the applied drug therapy combined with thromboaspiration periprocedurally, it was not possible to establish TIMI 3 flow. However, after the initial failure and development of periprocedural STEMI, the patient was successfully stabilized with unexpectedly good recovery of infarcted myocardial function. Control coronarography 6 weeks after the initial event confirmed a proper stent patency with normal TIMI 3 flow.https://hrcak.srce.hr/file/464204AneurysmsAcute coronary syndromeThromboaspirationNo-reflow |
| spellingShingle | Krešimir Gabaldo Marijana Knežević Praveček Domagoj Vučić Domagoj Mišković Ivan Bitunjac Ivica Dunđer Božo Vujeva Blaženka Miškić Katica Cvitkušić Lukenda Interventional Traps in Ectatic Coronary Arteries: A Case Report Acta Clinica Croatica Aneurysms Acute coronary syndrome Thromboaspiration No-reflow |
| title | Interventional Traps in Ectatic Coronary Arteries: A Case Report |
| title_full | Interventional Traps in Ectatic Coronary Arteries: A Case Report |
| title_fullStr | Interventional Traps in Ectatic Coronary Arteries: A Case Report |
| title_full_unstemmed | Interventional Traps in Ectatic Coronary Arteries: A Case Report |
| title_short | Interventional Traps in Ectatic Coronary Arteries: A Case Report |
| title_sort | interventional traps in ectatic coronary arteries a case report |
| topic | Aneurysms Acute coronary syndrome Thromboaspiration No-reflow |
| url | https://hrcak.srce.hr/file/464204 |
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