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Use of stents to treat kinks causing obstruction in a left internal mammary artery graft
Author(s) -
Rerkpattanapipat Pairoj,
Ghassemi Rex,
Ledley Gary S.,
Wongpraparut Nattawut,
Bemis Charles E.,
Yazdanfar Shahriar,
Kotler Morris N.
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<223::aid-ccd24>3.0.co;2-b
Subject(s) - medicine , lesion , artery , thrombus , mammary artery , cardiology , surgery , coronary arteries , coronary artery bypass surgery , radiology
Left internal mammary arteries (LIMA) are used routinely as grafts to the left anterior descending coronary artery (LAD) in selected patients undergoing coronary artery bypass graft (CABG) surgery because of better long‐term patency rates. Pathology other than fibrointimal hyperplasia, accelerated atherosclerosis, or thrombus can sometimes cause obstructive lesions in such grafts. This report illustrates a kink in a LIMA graft to the LAD causing an obstructive lesion shortly after surgery and describes the subsequent management of this lesion with intracoronary stents. Cathet. Cardiovasc. Intervent. 46:223–226, 1999. © 1999 Wiley‐Liss, Inc.