Percutaneous coronary intervention in two occluded arms of a saphenous 'Y'-graft: the importance of protecting both of your arms.
Percutaneous intervention in saphenous vein grafts (SVG) carries a higher risk of distal embolization than intervention in a native vessel, and use of a distal protection device has been shown to improve the outcomes in SVG interventions. We describe an intervention done in an unexpected 'Y' SVG which required dual distal protection with Filterwires placed in both limbs of the diseased graft and which was performed via a 6 Fr guide catheter.
Chan
Roger S
RS
Cardiac Catheterization Laboratories, Section of Cardiology, Dartmouth Medical School and Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756-0001, USA.
Duong
Michael H
MH
Kaplan
Aaron V
AV
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D004617:Embolism / Q000517:prevention & control*; D004867:Equipment Design; D005374:Filtration / Q000295:instrumentation; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*