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Percutaneous revascularization of an extensively diseased saphenous vein bypass graft with a saphenous vein-covered Palmaz stent

✍ Scribed by Gurbel, Paul A. ;Criado, Frank J. ;Curnutte, E. Alan ;Patten, Peggy ;Secada-Lovio, Jorge

Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
136 KB
Volume
40
Category
Article
ISSN
0098-6569

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✦ Synopsis

A 68-year-old man developed unstable angina 12 years following coronary artery bypass surgery. Angiography revealed an extensive area of severe stenosis and diminished distal flow in a right coronary artery vein bypass graft. Given the high distal embolism rate associated with conventional catheter-based treatment of old degenerated vein grafts, the diseased area was ''relined'' with a composite autologous saphenous veincovered stent. The procedure was performed using modifications of standard PTCA methods and resulted in a widely patent, smooth lumen. This initial case demonstrates that a degenerated saphenous vein graft can be successfully revascularized with an autologous saphenous vein-covered stent in an attempt to minimize the potential complications of standard catheter-based revascularization methods.

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