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Coronary rupture and pseudoaneurysm formation after extravascular migration of a paclitaxel eluting stent implanted in the left circumflex coronary artery

Koronarruptur und Pseudoaneurysmabildung nach extravaskulärer Migration eines in die linke A. circumflexa implantierten Stents mit Paclitaxelfreisetzung

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Abstract

As the implantation of drug eluting stents (DES) has become one of the most common clinical practices in interventional cardiology, the complications secondary to this procedure appear to have emerged increasingly over the past decade, with many cases of development of new coronary artery true aneurysms after DES implantation being reported. Here we present a case of coil embolization of a coronary pseudoaneurysm which presumably formed after extravascular migration of a DES.

Zusammenfassung

Die Implantation medikamentenfreisetzender Stens (“drug eluting stents”, DES) ist eines der am häufigsten angewendeten Verfahren in der interventionellen Kardiologie, und Komplikationen infolge dieses Verfahrens scheinen in den letzten 10 Jahren zunehmend aufzutreten. Dabei gibt es viele Berichte von Fällen, in denen sich ein wahres Aneurysma in den Koronararterien nach DES-Implantation neu gebildet hat. Hier wird ein Fall vorgestellt, bei dem ein koronares Pseudoaneurysma, das sich vermutlich nach extravaskulärer Migration eines DES gebildet hatte, mit einer Mikrospirale („coil“) embolisiert wurde.

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On behalf of all authors, the corresponding author states that there are no conflicts of interest.

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Correspondence to B. Candemir M.D..

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Candemir, B., Altin, T., Ede, H. et al. Coronary rupture and pseudoaneurysm formation after extravascular migration of a paclitaxel eluting stent implanted in the left circumflex coronary artery. Herz 38, 219–222 (2013). https://doi.org/10.1007/s00059-012-3673-2

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  • DOI: https://doi.org/10.1007/s00059-012-3673-2

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