Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report
Saphenous vein grafts (SVGs) are commonly used in coronary artery bypass graft (CABG) surgery patients. However, SVGs are prone to degradation and occlusion, resulting in poor long-term patency. Percutaneous coronary intervention (PCI) for SVG has been one of the options to treat SVGs disease despit...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322007634 |
| _version_ | 1811235255136288768 |
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| author | Ardianto Nandiwardhana, MD Eka Prasetya Budi Mulia, MD David Nugraha, MD Aldhi Pradana, MD Iswanto Pratanu, MD |
| author_facet | Ardianto Nandiwardhana, MD Eka Prasetya Budi Mulia, MD David Nugraha, MD Aldhi Pradana, MD Iswanto Pratanu, MD |
| author_sort | Ardianto Nandiwardhana, MD |
| collection | DOAJ |
| description | Saphenous vein grafts (SVGs) are commonly used in coronary artery bypass graft (CABG) surgery patients. However, SVGs are prone to degradation and occlusion, resulting in poor long-term patency. Percutaneous coronary intervention (PCI) for SVG has been one of the options to treat SVGs disease despite its challenges. Embolic protection device (EPD) use along with proper stent and medications are considered to minimize complications in this procedure. A 61-year-old man, with 4-vessel coronary artery bypass using SVGs and left internal mammary artery (LIMA) 11 years ago, presented with chest pain for more than 3 months. Coronary angiography showed severe stenosis of the SVG to PDA with two lesions, chronic total occlusion in SVG to OM and LIMA to LAD, with patent SVG to D1. He was admitted for elective PCI using drug-eluting stents and distal embolic filter. There were no problems observed, and the procedure was completed with successful stenting in SVG to PDA without any complications. The patient was discharged on dual-antiplatelet therapy along with his previous medication history. PCI is preferred over repeated CABG in high-risk patients, and EPD should be considered whenever technically possible to minimize the risk of distal embolization and thereby improve outcomes in SVG PCI. |
| first_indexed | 2024-04-12T11:48:02Z |
| format | Article |
| id | doaj.art-2756cbc8da414eb583c6e0e0a447d6cb |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-12T11:48:02Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-2756cbc8da414eb583c6e0e0a447d6cb2022-12-22T03:34:16ZengElsevierRadiology Case Reports1930-04332022-12-01171246664670Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case reportArdianto Nandiwardhana, MD0Eka Prasetya Budi Mulia, MD1David Nugraha, MD2Aldhi Pradana, MD3Iswanto Pratanu, MD4Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Jalan Mayjen Prof. Dr. Moestopo No.6-8, Surabaya 60286, Indonesia; Corresponding author.Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Jalan Mayjen Prof. Dr. Moestopo No.6-8, Surabaya 60286, IndonesiaProfessional Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Jalan Mayjen Prof. Dr. Moestopo No.6-8, Surabaya 60286, IndonesiaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Jalan Mayjen Prof. Dr. Moestopo No.6-8, Surabaya 60286, IndonesiaSaphenous vein grafts (SVGs) are commonly used in coronary artery bypass graft (CABG) surgery patients. However, SVGs are prone to degradation and occlusion, resulting in poor long-term patency. Percutaneous coronary intervention (PCI) for SVG has been one of the options to treat SVGs disease despite its challenges. Embolic protection device (EPD) use along with proper stent and medications are considered to minimize complications in this procedure. A 61-year-old man, with 4-vessel coronary artery bypass using SVGs and left internal mammary artery (LIMA) 11 years ago, presented with chest pain for more than 3 months. Coronary angiography showed severe stenosis of the SVG to PDA with two lesions, chronic total occlusion in SVG to OM and LIMA to LAD, with patent SVG to D1. He was admitted for elective PCI using drug-eluting stents and distal embolic filter. There were no problems observed, and the procedure was completed with successful stenting in SVG to PDA without any complications. The patient was discharged on dual-antiplatelet therapy along with his previous medication history. PCI is preferred over repeated CABG in high-risk patients, and EPD should be considered whenever technically possible to minimize the risk of distal embolization and thereby improve outcomes in SVG PCI.http://www.sciencedirect.com/science/article/pii/S1930043322007634Saphenous vein graftPercutaneous coronary interventionEmbolic protection deviceDrug-eluting stentDistal embolizationCoronary artery bypass |
| spellingShingle | Ardianto Nandiwardhana, MD Eka Prasetya Budi Mulia, MD David Nugraha, MD Aldhi Pradana, MD Iswanto Pratanu, MD Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report Radiology Case Reports Saphenous vein graft Percutaneous coronary intervention Embolic protection device Drug-eluting stent Distal embolization Coronary artery bypass |
| title | Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report |
| title_full | Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report |
| title_fullStr | Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report |
| title_full_unstemmed | Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report |
| title_short | Filter-based embolic protection device in saphenous vein graft percutaneous intervention: A case report |
| title_sort | filter based embolic protection device in saphenous vein graft percutaneous intervention a case report |
| topic | Saphenous vein graft Percutaneous coronary intervention Embolic protection device Drug-eluting stent Distal embolization Coronary artery bypass |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322007634 |
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