A saphenous vein graft chronic total occlusion intervention is uncommonly performed, partly due to the high risk of distal embolization. We described a strategy in which after successful wiring of a saphenous vein graft chronic total occlusion, balloon dilatation was performed to create a blind sac within the lesion, followed by aspiration thrombectomy to remove all the dislodged debris. Thereafter, balloon dilatation and stenting were safely performed in the distal occluded segment, to achieve complete recanalization.
HongMKMehranRDangasGet al.Creatine kinase-MB enzyme elevation following successful saphenous vein graft intervention is associated with late mortality. Circulation1999; 100: 2400–2405.
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LabinazMSketchMHJrEllisSGet al.Outcome of acute ST-segment elevation myocardial infarction in patients with prior coronary artery bypass surgery receiving thrombolytic therapy. Am Heart J2001; 141: 469–477.
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HalkinAMasudAZRogersCet al.Six-month outcomes after percutaneous intervention for lesions in aortocoronary saphenous vein grafts using distal protection devices: results from the FIRE trial. Am Heart J2006; 151: 915.e1–7.
