[Stenting in a recently implanted stent in a saphenous vein graft for optimizing angiographic results].
A 60 year-old woman with progressive angina who had been submitted to saphenous bypass-graft to right coronary artery and a left mammary artery graft to anterior descending artery eight years previously, underwent implantation of a Gianturco Roubin II stent in the proximal third of the saphenous vein graft. The result was suboptimal by persistence of a residual stenosis probably due to prolapse of atherosclerotic material through the coil spaces. Another stent (Palmaz-Schatz biliar stent) was implanted at the previously stented site with no residual stenosis. Another Palmaz-Schatz biliar stent was successfully implanted in the distal body of the graft to treat another lesion (passing through the previously stents without difficulty). Stenting a stent, in selected situations, is a useful tool to optimize the angiographic result of stent implantation.
Instituto do Coração do Hospital das Clínicas, FMUSP.
A
A
Esteves Filho
C K
CK
Takimura
E C
EC
Lira
L J
LJ
Kajita
S
S
Arie
G
G
Bellotti
F
F
Pileggi
D002404:Catheterization; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D015607:Stents