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Retrograde embolization during saphenous vein graft angioplasty
Author(s) -
Gao Wei,
Koh TianHai
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199902)46:2<205::aid-ccd20>3.0.co;2-r
Subject(s) - medicine , angioplasty , saphenous vein graft , embolization , vein , radiology , surgery , artery
Angioplasty of degenerated saphenous vein grafts is not infrequently complicated by distal embolization of atheromatous debris. We describe an uncommon case in which balloon angioplasty of an old vein graft to a second diagonal branch of the left anterior descending coronary artery was followed by distal embolization. However, the embolization occurred in a retrograde fashion distal to the anastomotic site, resulting in occlusion of the upstream first diagonal branch. The reasons for its occurrence are discussed, together with suggestions for its recognition. Cathet. Cardiovasc. Intervent. 46:205–209, 1999. © 1999 Wiley‐Liss, Inc.