Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent

Patients with Takayasu’s arteritis have pulmonary artery involvement more commonly than previously appreciated. The majority of these lesions are in segmental or sub-segmental arteries, but there are some patients who have severe stenosis of the main pulmonary arteries. Interventional treatment of t...

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Main Authors: Barry S Weinstock, Yitzhak Daniel Haim
Format: Article
Language:English
Published: SAGE Publishing 2019-04-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X19841955
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spelling doaj-6f06dbe8e675437b91b83d22268a69cb2020-11-25T02:23:02ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-04-01710.1177/2050313X19841955Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stentBarry S Weinstock0Yitzhak Daniel Haim1Orlando Heart & Vascular Institute, Altamonte Springs, FL, USAAdventHealth Orlando, Orlando, FL, USAPatients with Takayasu’s arteritis have pulmonary artery involvement more commonly than previously appreciated. The majority of these lesions are in segmental or sub-segmental arteries, but there are some patients who have severe stenosis of the main pulmonary arteries. Interventional treatment of these patients is technically feasible, but there are only limited case reports describing such intervention. Balloon angioplasty and stenting in these lesions often require high pressure inflations to achieve adequate results and thus has increased risk due to the possibility of pulmonary artery rupture. The recently approved Viabahn BX balloon-expandable covered stent may be an optimal device for main pulmonary artery stenosis as it is relatively low profile, can be over-expanded to large vessel diameter without compromise or disruption of the polytetrafluoroethylene covering and virtually eliminates the risk of catastrophic pulmonary artery rupture. We report here the first known use of this novel stent for treatment of severe pulmonary artery stenosis.https://doi.org/10.1177/2050313X19841955
collection DOAJ
language English
format Article
sources DOAJ
author Barry S Weinstock
Yitzhak Daniel Haim
spellingShingle Barry S Weinstock
Yitzhak Daniel Haim
Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
SAGE Open Medical Case Reports
author_facet Barry S Weinstock
Yitzhak Daniel Haim
author_sort Barry S Weinstock
title Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
title_short Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
title_full Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
title_fullStr Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
title_full_unstemmed Pulmonary artery stenting in a patient with Takayasu’s arteritis using a novel balloon-expandable covered stent
title_sort pulmonary artery stenting in a patient with takayasu’s arteritis using a novel balloon-expandable covered stent
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2019-04-01
description Patients with Takayasu’s arteritis have pulmonary artery involvement more commonly than previously appreciated. The majority of these lesions are in segmental or sub-segmental arteries, but there are some patients who have severe stenosis of the main pulmonary arteries. Interventional treatment of these patients is technically feasible, but there are only limited case reports describing such intervention. Balloon angioplasty and stenting in these lesions often require high pressure inflations to achieve adequate results and thus has increased risk due to the possibility of pulmonary artery rupture. The recently approved Viabahn BX balloon-expandable covered stent may be an optimal device for main pulmonary artery stenosis as it is relatively low profile, can be over-expanded to large vessel diameter without compromise or disruption of the polytetrafluoroethylene covering and virtually eliminates the risk of catastrophic pulmonary artery rupture. We report here the first known use of this novel stent for treatment of severe pulmonary artery stenosis.
url https://doi.org/10.1177/2050313X19841955
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AT yitzhakdanielhaim pulmonaryarterystentinginapatientwithtakayasusarteritisusinganovelballoonexpandablecoveredstent
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