Intervention of Saphenous Vein Graft Chronic Total Occlusion

Evan Lau; Patrick Whitlow

doi:10.1016/j.iccl.2012.12.002

Intervention of Saphenous Vein Graft Chronic Total Occlusion

Interv Cardiol Clin. 2013 Apr;2(2):315-321. doi: 10.1016/j.iccl.2012.12.002. Epub 2013 Jan 24.

Authors

Evan Lau¹, Patrick Whitlow²

Affiliations

¹ Robert and Suzanne Tomsich Department of Cardiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
² Robert and Suzanne Tomsich Department of Cardiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA. Electronic address: whitlop@ccf.org.

PMID: 28582138
DOI: 10.1016/j.iccl.2012.12.002

Abstract

Interventions on vein graft occlusions are technically feasible procedures but carry significant risk for periprocedural complications and demonstrate questionable long-term patency. For those circumstances in which recanalization of a graft occlusion is warranted, the authors have highlighted some of the procedural considerations and available techniques that may help maximize chances for success. This should not be mistaken for a wholesale endorsement of vein graft chronic total occlusion interventions. Before undertaking a procedure of this complexity, the operator must put strong consideration into the risks, benefits, and alternatives for a given patient.

Keywords: Chronic total occlusion; Saphenous vein graft; Vein graft intervention.

Publication types

Review