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Balloon occlusion and transluminal aspiration of saphenous vein grafts to prevent distal embolization

✍ Scribed by Bruce C. Stein; Jeffrey Moses; Paul S. Teirstein


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
138 KB
Volume
51
Category
Article
ISSN
1522-1946

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✦ Synopsis


Distal embolization is a common complication of percutaneous intervention in saphenous vein grafts. This may lead to the "no reflow" phenomenon and subsequent myocardial infarction. We describe a case in which we occluded the distal portion of a saphenous vein graft with a balloon to prevent distal embolization, performed percutaneous transluminal coronary angioplasty, and then successfully aspirated the particulate debris with a Dorros/Probing catheter.


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Extraction atherectomy utilizes suction aspiration as an attempt to limit distal emboli during atherectomy. We sought to test the hypothesis that extraction atherectomy produces less distal embolization than balloon angioplasty when treating saphenous vein grafts. Among 163 consecutive, nonrandomize