Novel use of a peripheral, self-expanding nitinol stent in adjunct to excimer laser coronary atherectomy in the treatment of degenerated vein graft disease.
Decades of successful surgical revascularization of coronary artery disease have led to a growing population with saphenous vein graft disease. However, the treatment of degenerated saphenous vein graft still remains controversial. We report a novel but successful use of a peripheral, self-expanding nitinol stent in adjunct to excimer laser coronary atherectomy (ELCA) in the treatment of symptomatic, degenerated saphenous vein graft disease. The procedure was tolerated well without any short- or long-term complications. The case report is followed by a review of the literature on the treatment of vein graft disease.
Gim
Ronald D
RD
Division of Cardiology, University of California-Irvine, Orange, California, USA.
Bokhari
Syed W
SW
Winters
Rex J
RJ
D000368:Aged; D000497:Alloys; D016342:Angioplasty, Laser; D017225:Atherectomy, Coronary; D003131:Combined Modality Therapy; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents
D000497:Alloys; C013616:nitinol