PCI in severely degenerated saphenous vein graft using a novel mesh-covered stent together with a conventional embolic protection system

Antonis K. Dimopoulos, Athanassios Manginas, Gregory Pavlides, Dennis V. Cokkinos

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Although the protection with filter-based devices during percutaneous coronary intervention (PCI) in a saphenous vein graft (SVG) reduces major adverse cardiac events, a large number of patients undergoing SVG PCI still experience these events. New methods must be used in order to reduce this incidence. Novel local plaque-trapping stents have been developed and show promise in pilot human testing. We present 2 cases of patients with degenerated SVGs and a large amount of plaque volume, who underwent coronary angioplasty in our department. Considering the high risk of distal embolization, we used a standard distal embolic protection system and a recently developed mesh-covered stent. This combination approach has not yet been studied very well.

Original languageEnglish (US)
Pages (from-to)429-435
Number of pages7
JournalHellenic Journal of Cardiology
Volume50
Issue number5
StatePublished - Sep 2009

Keywords

  • Embolic protection
  • No-reflow
  • Saphenous vein graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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