Guiding-catheter thrombectomy combined with distal protection during primary percutaneous coronary intervention of a saphenous vein graft

Cardiovasc Revasc Med. 2013 Nov-Dec;14(6):356-8. doi: 10.1016/j.carrev.2013.04.004. Epub 2013 May 13.

Abstract

Primary percutaneous intervention of saphenous vein grafts is associated with a high risk of distal embolization and no reflow. We report a case of acute myocardial infarction with a large intragraft thrombus, successfully treated with a technique combining thrombectomy with a 6 Fr guiding catheter and distal protection with the FilterWire EZ.

Keywords: Distal protection; Myocardial infarction; Percutaneous intervention; Saphenous vein graft; Thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / methods
  • Cardiac Catheterization / methods*
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / surgery*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / surgery*
  • Percutaneous Coronary Intervention* / methods
  • Saphenous Vein / surgery*
  • Saphenous Vein / transplantation
  • Stents*
  • Thrombectomy* / methods
  • Treatment Outcome