Covered stent implantation for the treatment of an aneurysm involving a coronary bifurcation.

We report the percutaneous treatment of an aneurysm of the mid-segment of the left anterior descending artery involving a bifurcation with a diagonal branch in a patient with three-vessel disease. Due to the nonavailability of a dedicated device, we used a V-configured bifurcation system consisting of a polytetrafluoroethylene-covered stent for the main vessel and a baremetal stent for the side branch. The angiographic result was optimal and the patient remained symptom-free at 1-year follow up when the stress test was negative.

Microcoil embolisation for ablation of septal hypertrophy in hypertrophic obstructive cardiomyopathy.

Background And Aim: Percutaneous transcatheter occlusion with ethanol injection of septal arteries is an efficient treatment procedure of hypertrophic obstructive cardiomyopathy (HOCM). The aim of our study was to evaluate the feasibility and efficiency of septal artery embolisation with microcoils.

Methods: Microcoils were delivered through the guide-wire lumen of a 2mm-diameter coaxial balloon positioned inside the target vessel as distally as possible.