PCI in severely degenerated saphenous vein graft using a novel mesh-covered stent together with a conventional embolic protection system.
Although the protection with filter-based devices during percutaneous coronary intervention (PCI) in a saphenous vein graft (SVG) reduces major adverse cardiac events, a large number of patients undergoing SVG PCI still experience these events. New methods must be used in order to reduce this incidence. Novel local plaque-trapping stents have been developed and show promise in pilot human testing. We present 2 cases of patients with degenerated SVGs and a large amount of plaque volume, who underwent coronary angioplasty in our department. Considering the high risk of distal embolization, we used a standard distal embolic protection system and a recently developed mesh-covered stent. This combination approach has not yet been studied very well.
Dimopoulos
Antonis K
AK
Department of Cardiology, Onassis Cardiac Surgery Centre, Athens, Greece. antdim21@gmail.com
Manginas
Athanassios
A
Pavlides
Gregory
G
Cokkinos
Dennis V
DV
D015906:Angioplasty, Balloon, Coronary; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D004617:Embolism / Q000517:prevention & control*; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents