Balloon occlusion and transluminal aspiration of saphenous vein grafts to prevent distal embolization

Distal embolization is a common complication of percutaneous intervention in saphenous vein grafts. This may lead to the “no reflow” phenomenon and subsequent myocardial infarction. We describe a case in which we occluded the distal portion of a saphenous vein graft with a balloon to prevent distal...

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Veröffentlicht in:	Catheterization and cardiovascular interventions 2000-09, Vol.51 (1), p.69-73
Hauptverfasser:	Stein, Bruce C., Moses, Jeffrey, Teirstein, Paul S.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged angioplasty Angioplasty, Balloon, Coronary - methods Biological and medical sciences Catheterization Coronary Angiography Diseases of the cardiovascular system Embolism - prevention & control Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - therapy Humans Inhalation Male Medical sciences no-reflow phenomenon Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Saphenous Vein - diagnostic imaging Saphenous Vein - transplantation saphenous vein graft
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Zusammenfassung:	Distal embolization is a common complication of percutaneous intervention in saphenous vein grafts. This may lead to the “no reflow” phenomenon and subsequent myocardial infarction. We describe a case in which we occluded the distal portion of a saphenous vein graft with a balloon to prevent distal embolization, performed percutaneous transluminal coronary angioplasty, and then successfully aspirated the particulate debris with a Dorros/Probing catheter™. Cathet. Cardiovasc. Intervent. 51:69–73, 2000. © 2000 Wiley‐Liss, Inc.
ISSN:	1522-1946 1522-726X
DOI:	10.1002/1522-726X(200009)51:1<69::AID-CCD16>3.0.CO;2-G