Saphenous Vein Graft Dissection Using the GuardWire Distal Protection Balloon
نویسندگان
چکیده
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 diseased SVGs. The GuardWire system is a temporary distal balloon occlusion and aspiration device for distal embolic protection. Inflation of the distal elastomeric compliant balloon of the GuardWire system prevents debris embolization downstream and is supposedly atraumatic to the vessel wall. We report the inadvertent dissection of an SVG by GuardWire balloon inflation.
منابع مشابه
Randomized comparison of distal protection with a filter-based catheter and a balloon occlusion and aspiration system during percutaneous intervention of diseased saphenous vein aorto-coronary bypass grafts.
BACKGROUND The high rate of periprocedural complications resulting from atherothrombotic embolization after percutaneous intervention in diseased saphenous vein grafts is reduced by distal microcirculatory protection using a balloon occlusion and aspiration system. Whether filter-based catheters, which offer the inherent advantages of maintained perfusion and ease of use, are as effective for t...
متن کاملEmbolic protection with filtering or occlusion balloons during saphenous vein graft stenting retrieves identical volumes and sizes of particulate debris.
BACKGROUND Distal embolization of plaque particulate liberated during stenting may cause periprocedural complications. The number, size, and volume of debris released during stenting, however, have not been quantified, rendering embolic protection approaches empiric. We used a novel method of microparticle size assessment to measure volume and characterize individual sizes of particles captured...
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BACKGROUND Repeat coronary artery bypass graft surgery (CABG) is associated with a high morbidity and mortality, rendering percutaneous treatment of saphenous vein graft (SVG) lesions an attractive alternative. However, percutaneous interventions of degenerated SVGs carries high risk of distal embolization. METHODS AND RESULTS This study reports our initial experience with the PercuSurge Guar...
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6. de Feyter PJ. Percutaneous treatment of saphenous vein bypass graft obstructions: a continuing obstinate problem. 7. Bejarano J. Mechanical protection of cardiac microcirculation during percuta-neous coronary interevntion of saphenous vein grafts. Int J Cardiol. In press. 8. Baim DS, Wahr D, George B, et al. Randomized trial of a distal embolic protection device during percutaneous intervent...
متن کاملRandomized evaluation of the TriActiv balloon-protection flush and extraction system for the treatment of saphenous vein graft disease.
OBJECTIVES The Protection During Saphenous Vein Graft Intervention to Prevent Distal Embolization (PRIDE) study compared outcomes with the TriActiv System (Kensey Nash Corp., Exton, Pennsylvania), a balloon-protection flush and extraction device, with an embolic protection group during treatment of saphenous venous grafts (SVGs). BACKGROUND Treatment of SVGs with embolic protection reduces ad...
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