title: The use of both peripheral and coronary techniques to treat a diseased saphenous vein graft.
abstract: This report describes the simultaneous use of both peripheral and coronary distal protection techniques to prevent no-reflow phenomena in a large sequential saphenous vein graft. The use of a large peripheral stent allowed for simultaneous distal protection while advancing the larger-lumen stent over both wires, resulting in safe deployment.
authors.affiliation: Interventional Cardiology Department, St. Joseph's Hospital, Syracuse, New York, USA. alan.simons@sjhcardiology.org
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Simons
authors.forename: Ayman S
authors.initials: AS
authors.lastname: Iskander
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Caputo
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000628:therapy*; D005374:Filtration / Q000295:instrumentation; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000637:transplantation*; D015607:Stents; D013997:Time Factors; D014654:Vascular Patency