A new use of the Simpson percutaneous atherectomy catheter: resection of retained valve cusps of an in-situ vein graft.
An in-situ saphenous vein graft occluded because of retained valve cusps. After aspiration thrombectomy, percutaneous transluminal balloon angioplasty was performed, but reocclusion occurred 11 months later. Following a second aspiration thrombectomy, the restenosed retained cusps were resected using the Simpson percutaneous atherectomy catheter. The graft remained patent until the patient's death from unrelated causes 6 months later.
Walker
J
J
Department of Radiology, Royal Infirmary of Edinburgh, Scotland, United Kingdom.
Chalmers
N
N
Gillespie
I N
IN
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D017073:Atherectomy / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation*; D017809:Fatal Outcome; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery* / Q000628:therapy; D006801:Humans; D012008:Recurrence; D012501:Saphenous Vein / Q000601:surgery* / Q000637:transplantation*; D017131:Thrombectomy / Q000379:methods; D013927:Thrombosis / Q000601:surgery / Q000628:therapy; D014654:Vascular Patency