CASE REPORT
Year : 2015 | Volume
: 16 | Issue : 1 | Page : 34--36
Saphenous Vein Graft Perforation During Percutaneous Coronary Intervention - A Nightmare to be Avoided
Surender Deora, Sanjay C Shah, Tejas M Patel
Department of Cardiovascular Sciences, Gujarat University, Ahmedabad, Gujarat, India
Correspondence Address:
Dr. Surender Deora
Department of Cardiovascular Sciences, Sheth Vadilal Sarabhai General Hospital, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Gujarat University, Ahmedabad - 380 006, Gujarat
India
Percutaneous coronary interventions (PCIs) of saphenous vein grafts (SVGs) is challenging and is associated with adverse short- and long-term clinical outcome as compared to native coronary arteries. SVG perforation is rare but catastrophic and needs immediate attention. Various factors predisposing for SVG perforation are old degenerated graft, ulcerated plaque, severe fibrotic, or calcified lesion necessitating high pressure balloon or stent inflation, use of intravascular ultrasound (IVUS) or other atheroablative devices. Management includes prolonged balloon occlusion, reversal of anticoagulation, use of covered stent, and emergency pericadiocentesis if required.
How to cite this article:
Deora S, Shah SC, Patel TM. Saphenous Vein Graft Perforation During Percutaneous Coronary Intervention - A Nightmare to be Avoided.Heart Views 2015;16:34-36
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How to cite this URL:
Deora S, Shah SC, Patel TM. Saphenous Vein Graft Perforation During Percutaneous Coronary Intervention - A Nightmare to be Avoided. Heart Views [serial online] 2015 [cited 2023 Jun 2 ];16:34-36
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=1;spage=34;epage=36;aulast=Deora;type=0 |
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