Retrograde recanalization of native coronary artery chronic occlusions via acutely occluded vein grafts.
Treatment of acutely occluded saphenous vein grafts may be challenging due to large thrombus burden and diffuse disease. We report two cases of thrombotic saphenous vein graft occlusion, in which after percutaneous attempts to recanalize the saphenous vein graft failed, the target native coronary artery chronic total occlusions were successfully treated using a retrograde approach.
Brilakis
Emmanouil S
ES
VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas, USA. esbrilakis@yahoo.com
Banerjee
Subhash
S
Lombardi
William L
WL
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D002908:Chronic Disease; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D054059:Coronary Occlusion / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000637:transplantation*; D015607:Stents; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome