Brachial approach directional coronary atherectomy of a left coronary artery saphenous vein bypass graft.
Directional coronary atherectomy (DCA) of a saphenous vein bypass graft to the left coronary artery was performed percutaneously from the brachial artery approach using a 7F endomyocardial biopsy sheath. Initial positioning was accomplished with a left bypass graft catheter inserted in the sheath. This technique permits use of smaller catheters than usual for DCA in patients in whom larger guides cannot be used.
Feldman
R L
RL
Cardiac Catheterization Laboratory, Munroe Regional Medical Center, Ocala, FL 34471.
Urban
P L
PL
D000368:Aged; D017225:Atherectomy, Coronary / Q000295:instrumentation / Q000379:methods*; D001916:Brachial Artery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*