The "crush" technique as a therapeutic approach for a bifurcation lesion in a saphenous venous graft.
Bifurcation lesions of native coronary arteries are common in daily practice and different strategies for percutaneous coronary intervention have been suggested for their treatment. The "crush" technique, with the use of drug-eluting stents in both the main and the side branch, is a relatively simple procedure that ensures complete lesion coverage, even for bifurcations that have extensive disease within the side branch. We present the case of a bifurcation lesion in a Y-shaped saphenous venous graft in a patient who had previously undergone coronary artery bypass graft surgery. The literature lacks reports regarding the management of such patients. Implementation of the "crush" technique in the specific case resulted in a satisfactory angiographic and long-term clinical outcome.
Karalis
Ioannis
I
Cardiology Department, University Hospital of Heraklion, Crete, Greece.
Kochiadakis
George
G
Igoumenidis
Nikolaos
N
Skalidis
Emmanuel
E
Chrysostomakis
Stavros
S
Vardas
Panos
P
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D054855:Drug-Eluting Stents; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation*