The first clinical experience with a peripheral, self-expanding nitinol stent in the treatment of saphenous vein graft disease: angiographic evidence of late expansion.
The ideal intervention for degenerated saphenous vein grafts (SVG) is still controversial. We report the first use of a peripheral, self-expanding nitinol stent in the treatment of a patient with symptomatic SVG disease. The procedure was well tolerated, without any short- or long-term complications. Quantitative coronary analysis of a 3-month follow-up angiogram revealed a continued expansion of the nitinol stent. Larger scale trials are warranted to evaluate whether the self-expanding nitinol stents can be used alone or in adjunct to other modalities for the treatment of SVG disease. The case report is followed by a literature review of SVG stenting.
Bokhari
Syed W
SW
Division of Cardiology, University of California-Irvine, Orange, California, USA.
Vahdat
Omid
O
Winters
Rex J
RJ
D000368:Aged; D000497:Alloys / Q000627:therapeutic use*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D012501:Saphenous Vein; D015607:Stents; D016896:Treatment Outcome
D000497:Alloys; C013616:nitinol