TCTAP A-092 Is Distal Protection Device Required in All Saphenous Vein Graft Interventions: Insights from Intra-vascular Ultrasound

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Saphenous Vein Graft Dissection Using the GuardWire Distal Protection Balloon

The higher rate of periprocedural adverse events and lower rate of event-free survival of saphenous vein graft (SVG) intervention compared with native coronary artery intervention is primarily due to distal embolization. Distal embolic protection devices have been shown to reduce the incidence of no flow/slow flow and procedure related myocardial infarction during percutaneous intervention of d...

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Embolic protection devices in saphenous vein graft interventions: is there still a role?

Saphenous vein grafts (SVGs) are widely used as aortocoronary conduits during coronary artery bypass surgery and are critical in the high early success of coronary bypass revascularization. Saphenous vein grafts tend to be more prone than native coronary arteries to accelerated atherosclerosis and intimal fibrosis and thus frequently lead to recurrent symptoms and require further revascularizat...

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Combined use of aspiration catheter and distal embolisation protection device to facilitate angioplasty of a totally occluded saphenous vein graft.

Angioplasty of totally occluded saphenous vein grafts is a very challenging procedure and the likelihood of distal embolisation and no-reflow is much higher than in any conventional angioplasty. The use of thrombus aspiration and distal protection devices, although not well studied in a large number of patients, has been shown to be quite effective in preventing such complications. In this case...

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Embolic Protection Devices in Aortocoronary Saphenous Vein Graft Intervention

E mbolic protection devices (EPDs) were first developed to provide cerebral protection during carotid artery stenting and have led to marked reductions in the combined endpoints of stroke or death.1,2 Therefore, it was natural that these devices should be applied to native coronary and aortocoronary saphenous vein graft (SVG) interventions to reduce clinically significant atheroand thromboembol...

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Distal filter protection during saphenous vein graft stenting: technical and clinical correlates of efficacy.

OBJECTIVES The aim of this study was to evaluate the clinical, angiographic, and technical factors related to successful stenting of diseased saphenous vein grafts (SVGs) using a novel filter-based distal protection device. BACKGROUND Protection of the distal microvasculature with a balloon occlusion and aspiration system has been shown to reduce atherothrombotic embolization and peri-procedu...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2017

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2017.03.553