Document Detail

Treatment of saphenous vein graft thrombosis with distal protection, thrombectomy, and adenosine prior to reperfusion: a complete approach to preserving microvascular integrity.
MedLine Citation:
PMID:  15156007     Owner:  NLM     Status:  MEDLINE    
We report the treatment of an acute myocardial infarction presenting late with thrombotic total occlusion of a saphenous vein graft. A novel approach was used to prevent microvascular obstruction and reperfusion injury, with a distal protection system, a thrombectomy device, and administration of intracoronary adenosine prior to restoration of flow, so that initial reperfusion was done with maximal microvascular vasodilatation.
Marcus St John; Alan W Heldman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  16     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-24     Completed Date:  2004-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  336-8     Citation Subset:  IM    
Division of Cardiology, Johns Hopkins University, Baltimore, Maryland, USA.
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MeSH Terms
Adenosine / administration & dosage*
Angioplasty, Transluminal, Percutaneous Coronary / methods
Coronary Angiography
Coronary Artery Bypass*
Coronary Circulation
Graft Occlusion, Vascular / radiography,  therapy*
Myocardial Infarction / surgery*
Myocardial Reperfusion / methods*
Myocardial Reperfusion Injury / prevention & control
Saphenous Vein / transplantation*
Thrombectomy* / instrumentation
Thrombosis / radiography,  therapy*
Vasodilator Agents / administration & dosage*
Reg. No./Substance:
0/Vasodilator Agents; 58-61-7/Adenosine

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

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