Study | Presentation Inflammatory Markers | Coronary Angiography | Intervention | Other Systemic Arterial Disease | Post-Intervention Inflammatory Markers | Followup | Adjunctive Therapy |
---|---|---|---|---|---|---|---|
Lai [4] | NR | NR | 1. stent | NR | ESR normal | Stent restenosis at 1Â year | GC & Cyc |
[4] | NR | NR | 1. stent | NR | NR | Patent stent at 1Â year | GC & Cyc |
[4] | NR | 1. Left Main trunk aneurysm 20 × 14 mm | 1. CABGa | NR | CRP normal ESR normal | Death post-operative day 2 after IVC rupture | GC & Cyc |
Huang [12] | CRP normal ESR normal | 1. Plaque infiltration of LMC 2. Occlusion of all the three major coronary arteries, with multiple aneurysms 3. 95% stenosis of the OM | 1. stent | 1. Multiple stenoses, occlusion and aneurysms of renal arteries | CRP normal ESR normal | 9-month echocardiogram without evidence of decline in function or structure | 1. Pred & Cyc initially transitioned to AZA for maintenance prior to intervention 2. Pred & MTX post-intervention |
Yanagawa [2] | CRP normal ESR normal | 1.Aneurysmal, left coronary vessels with multiple stenoses 2. 90% lesions of pLAD, stented D, pLCx and OM2 3.pRCA had 70% lesion | 1. BMS to mRCA 2. DES to in-stent stenosis of RCA + BM stent to D1 3. CABG: LIMA-LAD and SVG-D1-OM-PDA | 1. bilateral renal artery aneurysms 2. perinephric hemorrhage | NR | NR | 1.Pred & Cyc prior to CABG |
Ucar [32] | |||||||
Yamamoto [22] | CRP normal ESR normal | 1. Aneurysm of LMC, LAD, and LCx 2. pRCA total occlusion 3. 99% lesions in LAD and PL branch | 1.CABG: SVG-LAD & SVG-PLb | 1.Superior mesenteric artery aneurysm 2. Bilateral renal arteries aneurysm 3.Tortuose abdominal aortic artery 3.occlusion vs. Sev. Stenosis of r. gastroepiploic A 4. Stenotic proximal LITA & occluded RITA in middle segment 5. Bilateral radial A. aneurysms | NR | Post-operative CTA showed occlusion of SVG-PL | 1. Prednisolone at Dx, d/c’d 8 years before presentation |
Erbersberger [33] | Â | 1. 30Â mm aneurysm of the RCA | 1. CABG: SVG-RCA | 1. inguinal aneurysm | Â | Â | 1. post-operative Cyc |
Reindl [31] | CRP 196 mg/l | 1. Complete thrombotic occlusion of RCA 2. Absence of atherosclerosis in CA’s | 1. stent | 1. Bilateral renal infarctions and aneurysms 2. splenic infarctions 3.)cerebral infarctions 4.) popliteal occlusions | NR | NR | 1. methylprednisolone administered prior to intervention; continued unnamed immunosuppression post-intervention |
Canoplat [20] | NR | 1. Coronary ectasia in LAD & LCx 2. 100% RCA occlusion due to dissection & 2 distal consecutive thrombotic lesions | 1. Bare metal stent to distal RCA followed by bare metal stent to mid RCA | 1. Left Renal and axillary aneurysms | CRP and ESR normal | 6- and 12-month myocardial scintigraphy negative for ischemia | Cyc daily and Prednisolone every other day prior to presentation; no changes thereafter |
Lewandowski [11] | NR | 1.) LAD and RCA stenosis without typical atherosclerotic features 2. NS – performed at OSH 3.) stable LAD stenosis, new mRCA stenosis, new neointimal layer covering initial stents | 1.) DES stent to LAD and RCA 2.) LCx bioresorbable stent 3.) repeat DES stenting of the LAD and RCA | NR | NR | NR | 1. LD prednisone daily prior to presentation 2. methylprednisolone and Cyc after LCx stent 3. continuation of #2 |
Wagner [34] | ESR 120Â mm/1st h CRP 306.3Â mg/l | 1. 90% LAD lesion with multiple distal occlusions | 1. Stent | 1.Whitematter hypo-intensities on MRI | NR | NR | 1. Methylprednisolone & Cyc transitioned to prednisolone & Cyc prior to intervention 2. Prednisolone &Cyc post-intervention |
Bayturan [29] | NR | 1. CTO of prior RCA stent with bridging collaterals 2. Non-obstructive LCx lesions 3. 40-45Â mm aneurysm of the LAD OM1 | 1. Endovascular coil embolization | 1.Popliteal A. aneurysm | NR | Asymptomatic at 6Â weeks; CAG at 6Â weeks showed stable aneurysm | NR |
Yuji [25] | CRP normal | 1. RCA obstructed by thrombus within aneurysm 2. LAD & LCx markedly stenotic, thrombus within aneurysms 3. Collateral development between AV node branch & PD branch | 1. CABG: bilateral IMA’s | 1. Intestinal ischemia (thrombosis to supra mesenteric A.) 2. Positive Allen’s testing of radial arteries | NR | NR | 1. GC & AZA prior to procedure |
Present Study | hsCRP 5 mg/l ESR 49 mm/h | 1. 90% stenosis of the LAD 2. 70% of the 2nd diagonal branch 3. 100% of the 1st obtuse marginal 4. 70% of the LCx 5. 90% RCA occlusion | 1. CABG: LIMA-LAD and SVG-OM-LPDA-RPDA | 1. Splenic infarction 2. Abdominal Aortic Aneurysm (infrarenal) 3. Bilateral Femoral Artery Aneurysm 4. Celiac Axis & Hepatic Artery Stenosis | NR | Asymptomatic at 1 month | 1. Methylprednisolone transitioned to Pred prior to procedure 2. Pred & Cyc post-intervention |