title: An extensive cutting effect during retrograde percutaneous coronary intervention of a chronic total occlusion through an old degenerated bypass vein.
abstract: Treatment of chronic total occlusion (CTO) lesions remains a major challenge for interventional cardiology. In previous coronary artery bypass graft (CABG) patients, when antegrade native CTO percutaneous coronary intervention (PCI) is not feasible, a retrograde approach through an occluded bypass conduit could be a treatment option; however this approach carries risk for unique complications, some of which can be serious. We describe a case of retrograde CTO PCI through an occluded saphenous vein graft (SVG) complicated by an extensive rupture of the vein conduit.
authors.affiliation: Department of Invasive Cardiology, Istituto Clinico Humanitas, Rozzano (Milan), Italy. Electronic address: gabriele_luigi.gasparini@humanitas.it.
authors.forename: Gabriele L
authors.initials: GL
authors.lastname: Gasparini
authors.affiliation: Department of Invasive Cardiology, Istituto Clinico Humanitas, Rozzano (Milan), Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Presbitero
mesh_terms: D002908:Chronic Disease; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods; D054059:Coronary Occlusion / Q000628:therapy*; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery*
keywords: Chronic total occlusion; Complication; Retrograde approach; “Cheese cutting” effect