Rotational Atherectomy Before Stenting in the Body of a Saphenous Vein Graft
International Journal of Cardiovascular and Thoracic Surgery
Volume 5, Issue 1, January 2019, Pages: 1-5
Received: Jan. 20, 2019;
Accepted: Feb. 25, 2019;
Published: Mar. 16, 2019
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Paul Charbel, Cardiology Division, Department of Medicine, Saint George Hospital, UMC-University of Balamand, Faculty of Medical Sciences, Beirut, Lebanon
Joe Shaffu, Cardiology Division, Department of Medicine, Saint George Hospital, UMC-University of Balamand, Faculty of Medical Sciences, Beirut, Lebanon
Nadine Kaoukabani, Cardiothoracic Anesthesia Division, Anesthesia Department, Saint George Hospital, UMC-University of Balamand, Faculty of Medical Sciences, Beirut, Lebanon
Pierrette Habib, Cardiology Division, Department of Medicine, Saint George Hospital, UMC-University of Balamand, Faculty of Medical Sciences, Beirut, Lebanon
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Management of stenosis of saphenous vein grafts in Coronary artery bypass graft (CABG) patients remains challenging despite the advance in interventional cardiology techniques. Rotational atherectomy is an adjunctive technique used in certain anatomical conditions in native coronary arteries; its use in saphenous vein graft is still contra-indicated by the manufacturer, and has only been reported in few cases in the literature. We report a case of a calcified, non-dilatable, distal saphenous vein graft to Circumflex lesion in a heart failure patient presenting with Non STEMI. The lesion was just proximal to the anastomosis and could not be crossed. Because of high surgical risk, and against manufacturer guidelines, rotational atherectomy of the lesion was performed and was successful with a very good angiographic result. Rotational atherectomy to facilitate percutaneous interventions in saphenous vein graft lesions is feasible, and could be attempted in experienced centers provided the absence of luminal thrombus or dissection.
Rotational Atherectomy, Saphenous Vein Graft, Non STEMI, Percutaneous Coronary Intervention
To cite this article
Rotational Atherectomy Before Stenting in the Body of a Saphenous Vein Graft, International Journal of Cardiovascular and Thoracic Surgery.
Vol. 5, No. 1,
2019, pp. 1-5.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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