Treatment Of A Rare Vascular Complication Of Coronary Stenting In An Octagenarian

Abstract

The ability of drug-eluting stent (DES) to inhibit intimal proliferation has resulted in a massive increase in their usage over the years. However, it is known that the application of DES can alter the normal cascade of vascular healing, resulting in delayed endothelialisation with risk of vascular complications. Coronary artery aneurysms (CAN) are defined as more than 50% dilatation of the coronary artery compared to the reference vessel diameter with the reported incidence after percutaneous intervention (PCI) being only around 0.35 to 6.0%. Previously, CAN had been reported with the use of bare metal stent secondary to stretch, stent fracture and dissection. However, recently, increasing number of cases have been reported describing CAN after DES implantation. To the best of the authors' knowledge, they present the first case from Pakistan of a left anterior descending coronary artery aneurysm after DES implantation treated successfully with stenting under intravascular ultrasound guidance.

Clinico-Hematological Profile of Acute Leukemia Cases in Bihar: A Multiparameter Study in a Tertiary-Care Hospital

“…These findings were consistent with previous literature. 9 14 17 These data support the idea that patients in our region go to hospitals when their condition has progressed to an advance stage.…”

“…These findings were consistent with several other studies. 9 11 14 This result is supported by the fact that the infiltration of leukemic cells in the bone marrow and their increased production will result in neutropenia (resulting in fever), anemia, and thrombocytopenia (bleeding manifestations). 16…”

“…Findings of our study were not exactly comparable to that of Shahab and Raziq, where maximum incidence was seen in 1 to 5 years of age group followed by over 35 years of age. 14 Kassahun et al reported maximum incidence of acute leukemia was seen among patients older than 50 years (35.5%). 1…”

“…6 This finding was consistent with the study conducted by Preethi and Ghosh et al 19 21 According to Shahab and Raziq, AML-M4 was the most frequent subtype. 14…”