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    
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.
Alan W Heldman
Related Documents :
16336429 - Distal embolic protection for svg interventions: can we afford not to use it?
19324179 - Novel treatment of an 11-cm saphenous vein graft aneurysm.
6703409 - Diffuse dilatation of autogenous saphenous vein grafts used to replace the renal and su...
1188609 - Iatrogenic entrapment of femoropopliteal saphenous vein bypass grafts by the gastrocnem...
11904819 - Adventitial cystic disease of the axillary artery.
11359339 - Reflux elimination without any ablation or disconnection of the saphenous vein. a haemo...
9056629 - Reproducibility of in vivo carotid intima-media thickness measurements: a review.
25276469 - Successful treatment of iatrogenic vertebral pseudoaneurysm using pipeline embolization...
24585299 - Partial aortic root replacement for aneurysm of the right sinus of valsalva.
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    
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Blood Vessel Prosthesis Implantation
Combined Modality Therapy
Device Removal
Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors*,  therapeutic use*
Saphenous Vein / pathology*,  transplantation*
Thrombectomy* / methods*
Thrombosis / therapy*
Treatment Outcome
Reg. No./Substance:
0/Platelet Glycoprotein GPIIb-IIIa Complex

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

Previous Document:  When zebras run with horses: the diagnostic dilemma of acute aortic dissection complicated by myocar...
Next Document:  Percutaneous coronary intervention versus coronary artery bypass grafting: clinical outcomes in mult...