Stent deployment with distal vascular protection for the culprit vein graft stenosis in a patient with an acute infarct and cardiogenic shock.
A case of emergency stent deployment to a critical vein graft lesion in a patient with an acute myocardial infarction and cardiogenic shock is described. An Angioguard vascular protection device was used, retrieving a large amount of atheromatous debris. Use of filter-type protection devices to prevent distal atheroembolism may be lifesaving in such patients.
D000368:Aged; D017700:Embolism, Cholesterol / Q000517:prevention & control*; D005374:Filtration / Q000379:methods; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D019736:Prostheses and Implants; D012501:Saphenous Vein / Q000637:transplantation*; D012770:Shock, Cardiogenic / Q000150:complications*; D015607:Stents