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