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Titolo:
Rescue thrombectomy after stent placement in a saphenous vein graft
Autore:
Brueck, M; Ludwig, J; von Korn, H; Maeffert, R; Daniel, WG;
Indirizzi:
Univ Erlangen Nurnberg, Med Klin & Poliklin 2, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany
Titolo Testata:
MEDIZINISCHE KLINIK
fascicolo: 11, volume: 96, anno: 2001,
pagine: 681 - 684
SICI:
0723-5003(20011115)96:11<681:RTASPI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
GER
Soggetto:
CORONARY-BYPASS GRAFTS; BALLOON ANGIOPLASTY; DISTAL EMBOLIZATION; LONG-TERM; DIRECTIONAL ATHERECTOMY; LESIONS; TRIAL; COMPLICATIONS; INTERVENTIONS; MULTICENTER;
Keywords:
degenerated vein grafts; saphenous vein graft intervention; coronary embolization; vein graft lesions; transluminal angioplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Brueck, M Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Ostliche Stadtmauerstr 29, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Ostliche Stadtmauerstr 29 Erlangen Germany D-91054
Citazione:
M. Brueck et al., "Rescue thrombectomy after stent placement in a saphenous vein graft", MED KLIN, 96(11), 2001, pp. 681-684

Abstract

Background: Distal showering of atherosclerotic debris or thrombus is a feared event during percutaneous angioplasty of degenerated vein grafts. Case Report: We report oil a 66-year-old male patient with a history of coronary artery, disease who was admitted into hospital with all acute coronal-V syndrome. He had had corollary artery bypass graft surgery in 1995. Hischest pam resolved under treatment with aspirin, heparin, betablocker, andnitrate. A diagnostic angiogram demonstrated two critical stenoses of the left interior descending graft. After a Continuous infusion of tirofiban administered for 24 h prior to elective angioplasty, a JR 4SH 6 F guiding catheter (Cordis) was positioned. The lesions were crossed with a 0.014 " Galeo F (TM) wire (Biotronik). A 4 mm X 16 mm stent graft (Jostent (TM), Jomed)was deployed in the distal stenosis and a 4,5 mm X 32 mm self-expandable stent (Magic Wallstent (TM), Boston-Scientific) in the proximal stenosis. Thereafter, the patient suffered from chest pain, and the ECG showed ST elevation from V1 to V5. Angiography revealed total occlusion of the left interior descending artery. An X-Sizer (TM) catheter (EndiCOR, Medical, Inc.) wasintroduced and advanced through the vein graft with slow back-and-forth movements. After several aspirations, blood flow xas significantly improved. A modest CK elevation (127 U/l) indicated a rather small loss of myocardialtissue. Conclusion: Percutaneous revascularization of narrowed aortocoronary saphenous vein grafts is associated with increased risk of distal embolization and "no reflow". The X-Sizer (TM) catheter system is compatible with commercially available guiding catheters, and capable of retrieving thrombotic debris after macroembolization from degenerated saphenous vein grafts including the native coronary artery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:54:50