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Treatment of recurrent pulmonary vein stenoses with endovascular stenting and adjuvant oral sirolimus
Author(s) -
BrombergMarin Guilherme,
Tsimikas Sotirios,
Mahmud Ehtisham
Publication year - 2007
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21036
Subject(s) - medicine , restenosis , pulmonary vein stenosis , pulmonary vein , angioplasty , radiofrequency ablation , percutaneous , radiology , surgery , sirolimus , stenosis , balloon , vein , asymptomatic , stent , atrial fibrillation , cardiology , ablation
The increasing use of radiofrequency catheter ablation for the cure of atrial fibrillation has led to iatrogenic pulmonary vein stenosis as a new clinical entity. The optimal diagnostic modality and treatment for pulmonary vein stenosis and restenosis remain unclear. We report the successful treatment of pulmonary vein restenosis following percutaneous balloon angioplasty, and for the first time, following surgical bovine pericardial patch angioplasty, with endovascular stenting and adjuvant oral sirolimus. Both patients remain asymptomatic at 1 year follow‐up without evidence of restenosis. © 2006 Wiley‐Liss, Inc.