Use of the Proxis embolic protection device for guide anchoring and stent delivery during complex saphenous vein graft interventions.
Optimal guide catheter engagement and an embolic protection strategy are crucial for successful saphenous vein graft (SVG) percutaneous coronary interventions. We describe three SVG cases during which the use of Proxis device not only provided embolic protection, but also served as a guide catheter anchor allowing distal stent delivery, after failed attempts using conventional techniques.
Banerjee
Subhash
S
Division of Cardiology, VA North Texas Healthcare System, Dallas, TX 75216, USA. subhash.banerjee@utsouthwestern.edu
Brilakis
Emmanouil S
ES
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D002932:Cineangiography; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D054855:Drug-Eluting Stents; D004617:Embolism / Q000209:etiology / Q000517:prevention & control*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome