A novel concept in endovascular stenting for the treatment of old severely degenerated saphenous vein graft in the urgent setting.
We report a critically ill-patient admitted for NSTEMI with acute pulmonary congestion, showing at urgent cardiac catheterization a severely diseased saphenous vein graft as the culprit vessel, with huge atherothrombotic burden. The graft was successfully revascularized by the implantation of 4 M-Guard stent (for proximal to distal) creating a full metal jacket. The M-Guard technology consists on a stainless steel platform wrapped by a micron-level polymer net, that seamlessly expands when the stent is deployed, providing protection from embolic showers.
Hendler
Alberto
A
Assaf Harofeh Medical Center, Interventional Cardiology, Tel-Aviv University, Tel-Aviv, Israel. ahendler@asaf.health.gov.il
Minha
Saar
S
Krakover
And Ricardo
AR
D054058:Acute Coronary Syndrome / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods; D003328:Coronary Thrombosis / Q000517:prevention & control; D016638:Critical Illness; D004632:Emergency Medical Services; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D011474:Prosthesis Design; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents