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After a short spell as assistant coach of Jacques Scerri at Balzan, on february 2020 Pisanu has been name head coach of the Maltese Premier League club Sliema Wanderers.

In 2016, following the end of his career as a player, Pisanu was appointed as the coach of Malta Division One team Melita. He left Melita in June 2018 to make room for new head coach Edmond Lufi

Pisanu spent one year at Sliema Wanderers from 2014 to 2015.

In August 2011 Pisanu joined Prato. While with Prato the midfielder had a fine season scoring 11 goals in 23 matches in the third division. In the following season he returned to Bologna. On 3 January 2013, Bologna signed an agreement with Montreal Impact in MLS to loan Pisanu to the Canadian club. In January 2014 Pisanu returned to Prato, as well as in August 2014 to Malta.

In June 2011 Parma acquired Valiani outright and Pisanu jointed Bologna outright. Elia and Pasi also returned to their mother club. Elia was valued an aggressive price of €1.5 million and Pasi's 50% rights were valued at an aggressive price of €1.6 million; Valiani's residual rights for €2.8 million and co-currently sold Pisanu outright for €2.5 million. The four deals netted Bologna €200,000.

In January 2010 he joined Bologna in a co-ownership deal, in a direct swap with Francesco Valiani. Both players were valued at €2.5 million for half of the registration rights. It allowed both clubs to make a profit with the move, notably about €3.5 million for Valiani and €4,919,160 for Pisanu. In the same window both clubs also swapped Alessandro Elia and Riccardo Pasi.

In mid-2004 Pisanu joined Serie A club Parma F.C. along with Alessandro Elia and Marco Fanna. During his ​5  ⁄2 year stay he played an average of 15 games per seasons. He failed to play any game during the 2009–10 Serie A after winning promotion for the club in 2009 as the runner-up of the 2008–09 Serie B.

Pisanu joined Hellas Verona F.C. from hometown club Cagliari Calcio in February 2001 for 800 million lire (€413,166). He was a member of the reserve team during the 2001–02 season. In June 2002 Verona acquired Pisanu outright from Cagliari. In January 2004 Pisanu left for Varese.

Andrea Pisanu (born 7 January 1982) is an Italian association football coach and former player, current coach of Sliema Wanderers.