Bifurcating saphenous vein aorto‐coronary bypass graft lesions: Treatment of left main equivalent using two filterwire EX™ distal protection devices

Distal protection devices for the prevention of embolization during saphenous venous aorto‐coronary bypass graft intervention are currently considered standard of care. Branching or Y‐type saphenous vein grafts present a unique and challenging problem when a distal protection device is anticipated. We present a case in which two Filterwires™ were used simultaneously through two separate guiding catheters in a left main equivalent bifurcating saphenous vein graft (SVG) with significant ostial and proximal atherosclerotic lesions of both limbs, which supplied left anterior descending artery and circumflex artery territories. © 2005 Wiley‐Liss, Inc.