Document Detail


Distal occluder and rheolytic thrombectomy of a saphenous vein graft lesion with a large associated thrombus.
MedLine Citation:
PMID:  12238429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous intervention in thrombus-containing lesions is frequently associated with complications, including distal embolization and no-reflow. In saphenous vein bypass grafts (SVG), friable atheroma and associated thrombus make interventions particularly difficult. Distal protection strategies are in development, but complete protection with removal of all potentially embolic material is challenging. This case illustrates a novel technique using a distal occluder balloon and rheolytic thrombectomy followed by stent deployment to treat a SVG lesion. This combination therapy was technically feasible, resulted in no angiographic complications and normal creatine kinase levels throughout follow-up, and can be used during high risk SVG interventions.
Authors:
Alan W Heldman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  15     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-19     Completed Date:  2002-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  309-12     Citation Subset:  IM    
Affiliation:
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. aheldman@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Blood Vessel Prosthesis Implantation
Combined Modality Therapy
Device Removal
Female
Humans
Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors*,  therapeutic use*
Saphenous Vein / pathology*,  transplantation*
Stents
Thrombectomy* / methods*
Thrombosis / therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Platelet Glycoprotein GPIIb-IIIa Complex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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