Document Detail

Pseudo-no-reflow phenomenon in ostial saphenous vein graft intervention using FilterWire EX protection.
MedLine Citation:
PMID:  16168821     Owner:  NLM     Status:  MEDLINE    
Distal protection using FilterWire EX has been shown to be effective in reducing the incidence of debris embolization and no-reflow phenomenon in saphenous vein graft (SVG) intervention. We present a case of mechanical obstruction of antegrade flow by atherothrombotic debris collected in the FilterWire EX after stent implantation of the ostial SVG lesion, masqueraded as no-reflow phenomenon. The condition was promptly reverted by thrombosuction using an Export Aspiration Catheter. A heavy debris burden was recovered by the thrombosuction and there was no evidence of myonecrosis after the procedure. We emphasize that different distal protection device can complement each other in special situations. A brief overview of the various approaches in preventing distal embolization in SVG intervention was also given.
Chi Hang Lee; Adrian Low; Huay Cheem Tan; Yean Teng Lim
Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  International journal of cardiology     Volume:  104     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-19     Completed Date:  2006-05-03     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  233-4     Citation Subset:  IM    
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Blood Vessel Prosthesis Implantation
Coronary Angiography
Coronary Circulation
Coronary Stenosis / physiopathology*,  radiography,  therapy*
Middle Aged
Saphenous Vein / physiopathology*,  radiography,  surgery*

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