Document Detail


Use of the Amplatzer Vascular Plug for treatment of coronary steal.
MedLine Citation:
PMID:  17379329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The left internal mammary artery (LIMA) is a widely used conduit during coronary artery bypass graft surgery because of its excellent long-term patency. Although large LIMA side branches are typically ligated during the surgery, the occurrence of a coronary steal phenomenon related to these side branches following surgery remains controversial. A variety of devices, including coil embolization and gelatin sponge particles, have been used in the percutaneous treatment of LIMA side branch induced coronary steal. The Amplatzer Vascular Plug has recently been applied in variety of clinical situations, including the occlusion of aortopulmonary collaterals, patent ductus arteriosus and pulmonary arteriovenous malformations. The Amplatzer Vascular Plug is a self-expandable, cylindrical device made from nitinol that offers several potential advantages in this setting including ease of delivery, a wide range of device sizes and the ability to safely remove the device if placement location in not optimal. In this case report, we present a patient with objective ischemia in the left anterior descending artery distribution secondary to coronary steal from a large LIMA side branch that was successfully treated using the Amplatzer Vascular Plug.
Authors:
Nicole Weinberg; William J French; David M Shavelle
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Publication Detail:
Type:  Case Reports; Letter     Date:  2007-03-26
Journal Detail:
Title:  International journal of cardiology     Volume:  124     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-24     Completed Date:  2008-02-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  109-11     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Coronary Angiography
Exercise Test
Humans
Internal Mammary-Coronary Artery Anastomosis / instrumentation*
Male
Mammary Arteries / physiopathology*
Middle Aged
Myocardial Ischemia / diagnosis,  etiology,  surgery*
Postoperative Complications / diagnosis,  surgery*

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


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