An extensive cutting effect during retrograde percutaneous coronary intervention of a chronic total occlusion through an old degenerated bypass vein

Gabriele L Gasparini; Patrizia Presbitero

doi:10.1016/j.carrev.2014.08.008

An extensive cutting effect during retrograde percutaneous coronary intervention of a chronic total occlusion through an old degenerated bypass vein

Cardiovasc Revasc Med. 2015 Apr-May;16(3):192-6. doi: 10.1016/j.carrev.2014.08.008. Epub 2014 Aug 29.

Authors

Gabriele L Gasparini¹, Patrizia Presbitero²

Affiliations

¹ Department of Invasive Cardiology, Istituto Clinico Humanitas, Rozzano (Milan), Italy. Electronic address: gabriele_luigi.gasparini@humanitas.it.
² Department of Invasive Cardiology, Istituto Clinico Humanitas, Rozzano (Milan), Italy.

PMID: 25242309
DOI: 10.1016/j.carrev.2014.08.008

Abstract

Treatment of chronic total occlusion (CTO) lesions remains a major challenge for interventional cardiology. In previous coronary artery bypass graft (CABG) patients, when antegrade native CTO percutaneous coronary intervention (PCI) is not feasible, a retrograde approach through an occluded bypass conduit could be a treatment option; however this approach carries risk for unique complications, some of which can be serious. We describe a case of retrograde CTO PCI through an occluded saphenous vein graft (SVG) complicated by an extensive rupture of the vein conduit.

Keywords: Chronic total occlusion; Complication; Retrograde approach; “Cheese cutting” effect.

Publication types

Case Reports

MeSH terms

Chronic Disease
Coronary Angiography / methods
Coronary Artery Bypass / methods
Coronary Occlusion / therapy*
Graft Occlusion, Vascular / therapy*
Humans
Male
Middle Aged
Percutaneous Coronary Intervention* / methods
Treatment Outcome
Veins / surgery*