Bifurcating saphenous vein aorto-coronary bypass graft lesions: treatment of left main equivalent using two Filterwire EX distal protection devices.
Distal protection devices for the prevention of embolization during saphenous venous aorto-coronary bypass graft intervention are currently considered standard of care. Branching or Y-type saphenous vein grafts present a unique and challenging problem when a distal protection device is anticipated. We present a case in which two Filterwires were used simultaneously through two separate guiding catheters in a left main equivalent bifurcating saphenous vein graft (SVG) with significant ostial and proximal atherosclerotic lesions of both limbs, which supplied left anterior descending artery and circumflex artery territories.
Prosser
Verne M
VM
University of Texas Health Science Center, San Antonio, Texas, USA.
Bailey
Steven R
SR
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D004617:Embolism / Q000517:prevention & control*; D005374:Filtration / Q000295:instrumentation; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents