Coronary artery stenting postcardiac transplant: A report of two cases
D. Cusick MD
Northwestern Memorial Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, Illinois
Search for more papers by this authorC. Davidson MD
Northwestern Memorial Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, Illinois
Search for more papers by this authorT. Frohlich MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Search for more papers by this authorG. Davis MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Search for more papers by this authorCorresponding Author
M. Salinger MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201Search for more papers by this authorD. Cusick MD
Northwestern Memorial Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, Illinois
Search for more papers by this authorC. Davidson MD
Northwestern Memorial Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, Illinois
Search for more papers by this authorT. Frohlich MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Search for more papers by this authorG. Davis MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Search for more papers by this authorCorresponding Author
M. Salinger MD
Evanston Hospital, Department of Medicine, Division of Cardiology, Northwestern University Medical School, Evanston, Illinois
Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201Search for more papers by this authorAbstract
Coronary atherosclerosis remains a significant cause of morbidity and mortality following cardiac transplantation. Coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, and directional coronary atherectomy have all been presented as attempted treatment options in this population with generally suboptimal results. Endovascular stenting is a new transcatheter treatment modality with unique potential advantages as compared to other transcatheter revascularization techniques. This report presents the use of endovascular stenting and 6-mo follow-up in two orthotopic cardiac transplant recipients with proximal stenotic posttransplant graft atherosclerosis. Cathet Cardiovasc Diagn 40:92–96, 1997. © 1997 Wiley-Liss, Inc.
References
- 1 Miller LW, Schlant RC, Kobashigawa J, Kubo S, Renlund DG: 24th Bethesda Conference-Cardiac Transplantation: Task Force 5: Complications. J Am Coll Cardiol 22: 41–54, 1993.
- 2
Barnart GR,
Pascoe EA,
Mills AS,
Szentpetery S,
Eich DM,
Mohanakumar T,
Hastillo A,
Thompson JA,
Hess ML,
Lower RR:
Accelerated coronary atherosclerosis in cardiac transplant recipients.
Transplant Rev
1: 31–46,
1988.
10.1016/S0955-470X(87)80004-6 Google Scholar
- 3 Gao SZ, Alderman EL, Schroeder JS, Silverman JF, Hunt SA: Accelerated coronary vascular disease in the heart transplant recipient: Coronary arteriography findings. J Am Coll Cardiol 12: 334–340, 1988.
- 4 Smart FW, Ballantyne CM, Cocanougher B, Farmer JA, Sekela ME, Noon GP, Young JB: Insensitivity of noninvasive tests to detect coronary artery vasculopathy after heart transplant. Am J Cardiol 67: 243–247, 1991.
- 5 St. Goar FG, Pinto FJ, Alderman EL, Valantine HA, Schroeder JS, Gao SZ, Stinson EB, Popp RL: Intracoronary ultrasound in cardiac transplant recipients: In vivo evidence of “angiographically silent” intimal thickening. Circulation 85: 979–987, 1992.
- 6 Schroeder JS, Gao SZ, Alderman EA, Hunt SA, Johnstone I, Boothroyd DB, Wiederhold V, Stinson EB: A preliminary study of diltiazem in the prevention of coronary artery disease in heart transplant recipients. N Engl J Med 328: 164–170, 1993.
- 7 Halle AA III, DiSciascio G, Massin EK, Wilson RF, Johnson MR, Sullivan HJ, Bourge RC, Kleiman NS, Miller LW, Averson TR, Wray RB, Hunt SA, Weston MW, Davies RA, Rincon G, Crandall CC, Cowley MJ, Kubo SH, Fisher SG, Vetrovec GW: Coronary angioplasty, atherectomy, and bypass surgery in cardiac transplant recipients. J Am Coll Cardiol 26: 120–128, 1995.
- 8 Halle AA III, Wilson RF, Massin EK, Bourge RC, Stadius ML, Johnson MR, Wray RB, Young JB, Davies RA, Walford GD, Miller LW, Deligonul U, Ringon G, Kubo SH, DiSciascio G, Crandall CC, Cowley MJ, Vetrovec GW: Coronary angioplasty in cardiac transplant recipients: Results of a multicenter study. Circulation 86: 458–462, 1992.
- 9 Sandhu JS, Uretsky BF, Reddy S, Denys BG, Ruffner RJ, Breisblatt WM, Zerbe TR, Kormos RL, Armitage JM, Hardesty RL, Griffith BP: Potential limitations of percutaneous angioplasty in heart transplant patients. Am J Cardiol 69: 1234–1237, 1992.
- 10 Ryan TJ, Bauman WB, Kennedy JW, Kereiakes DJ, King SB III, McCallister BD, Smith SC Jr, Ullyot DJ: Guidelines for percutaneous transluminal coronary angioplasty: A report of the American College of Cardiology/American Heart Association Task Force on assessment of diagnostic and therapeutic cardiovascular procedures. J Am Coll Cardiol 22: 2033–2054, 1993.
- 11 Jain SP, Ventura HO, Ramee SR, Collins TJ, Isner JM, White CJ: Directional coronary atherectomy in heart transplant recipients. J Heart Transplant 12: 819–823, 1993.
- 12 Strikwerda S, Umans V, van der Linden MM, van Suylen RJ, Balk AH, de Feyter PJ, Serruys PW: Percutaneous directional atherectomy in heart transplant recipients. J Heart Lung Transplant 12: 819–823, 1993.
- 13 Copeland JG, Butman SM, Sehti G: Successful coronary artery bypass grafting for high-risk left main coronary artery atherosclerosis after cardiac transplantation. Ann Thorac Surg 49: 106–110, 1990.
- 14 Frazier OH, Vega JD, Duncan JM, Springer AJ, Burnett CM, Lonquist JL, Birovljev S, Radovancevic B: Coronary artery bypass surgery two years after orthotopic heart transplantation. J Heart Lung Transplant 10: 1036–1040, 1991.
- 15 Dunning JJ, Kendall SW, Mullins PA, Chahan A, Graham TR, Biocina B, Scholfield PM, Large SR: Coronary artery bypass grafting nine years after cardiac transplantation. Ann Thorac Surg 54: 571–572,
- 16 Gao SZ, Schroeder JS, Hunt S, Stinson EB: Retransplantation for severe accelerated coronary artery disease in heart transplant recipients. Am J Cardiol 62: 876–881, 1988.
- 17 Ensley RD, Hunt S, Taylor DO, Relund DG, Menlove RL, Karwande SV, O'Connell JB, Barr ML, Michler RE, Copeland JG, Miller LW: Predictors of survival after repeat heart transplantation. J Heart Lung Transplant 11: 142–148, 1992.
- 18 Keogh AM, Valentine HA, Hunt SA, Schroeder JS, McIntosh N, Oyer PE, Stinson EB: Impact of proximal or midvessel discrete coronary artery stenosis on survival after heart transplantation. J Heart Lung Transplant 11: 892–901, 1992.
- 19 Gao SZ, Hunt SA, Schroeder JS, Alderman EL, Hill I, Stinson EB: Timing of detection and prognosis after appearance of coronary artery disease in heart transplant recipients (abstract). J Am Coll Cardiol 23: 230, 1994.
- 20 Savage MP, Fischman DL, Schatz RA, Teirstein PS, Leon MB, Baim D, Ellis SG, Topol EJ, Hirshfield JW, Cleman MW, Buchbinder M, Bailey S, Heuser R, Walker CM, Curry RC, Gebhardt S, Rake R, Goldberg S: Long-term angiographic and clinical outcome after implantation of a balloon-expandable stent in the native coronary artery circulation. J Am Coll Cardiol 24: 1207–1212, 1994.
- 21 Fischman DL, Leon MB, Baim DS, Schatz RA, Savage MP, Penn I, Detre K, Veltri L, Ricci D, Nobuyoshi M, Cleman M, Heuser R, Almond D, Teirstein PS, Fish D, Columbo A, Brinker J, Moses J, Shaknovich A, Hirshfeld J, Baily S, Ellis S, Rake R, Goldberg S: A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Med 331: 496–501, 1994.
- 22 Serruys PW, de Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, Emanuelsson H, Marco J, Legrand V, Materne P, Belardi J, Sigwart U, Columbo A, Goy JJ, van der Heuval P, Delcan J, Morel MA: A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. N Engl J Med 331: 489–495, 1994.
