Vascular scaffolding to seal giant aneurysms: a new technique.

Spontaneous rupture, fistula formation, thrombosis, distal embolisation and myocardial ischaemia are potential complications of coronary and vascular aneurysms. Several surgical techniques have been described to treat these aneurysms: ligation of the aneurysm, resection with end-to-end anastomosis, and vascular or coronary bypass grafting. Indications to treat coronary aneurysms remain unclear, and guidelines are not useful for making a decision. Treatment modalities have to be made by the clinician on a case-by-case basis. Renal and abdominal aneurysms’ treatments are usually recommended for aneurysms over 15 mm of diameter. Stent-assisted coil embolisation has been reported for treatment of carotid and vertebrobasilar arteries. Recently, this treatment has been described for saccular and fusiform coronary aneurysm. We have tested this technique in patients with peripheral (n1⁄42) and coronary