A case is described in which a pericardial branch of a nongrafted left internal mammary artery communicated directly with the distal left anterior descending artery, following saphenous vein bypass grafting. This type of collateralization following coronary artery bypass surgery seems to be very rar
Brachial approach directional coronary atherectomy of a left coronary artery saphenous vein bypass graft
β Scribed by Feldman, Robert L. ;Urban, Paul L.
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 328 KB
- Volume
- 30
- Category
- Article
- ISSN
- 0098-6569
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β¦ Synopsis
Directional coronary atherectomy (DCA) of a saphenous vein bypass graft to the left coronary artery was performed percutaneously from the brachial artery approach using a 7F endomyocardial biopsy sheath. Initial positioning was accomplished wlth a left bypass graft catheter inserted in the sheath. This technique permits use of smaller catheters than usual for DCA in patients in whom larger guides cannot be used.
π SIMILAR VOLUMES
## Abstract Distal protection devices for the prevention of embolization during saphenous venous aortoβcoronary bypass graft intervention are currently considered standard of care. Branching or Yβtype saphenous vein grafts present a unique and challenging problem when a distal protection device is