Vein Graft Coil Embolization and Successful Retrieval With a Micro-Snare
CARDIOVASCULAR REVASCULARIZATION MEDICINE(2021)
Abstract
Following successful retrograde CTO PCI via a degenerating saphenous vein graft, persistent TIMI II flow was noted in the graft. Given increased risk of target vessel failure in the presence of significant competitive flow from a saphenous vein graft, the SVG underwent coil embolization with two 4 mm x 6 cm detachable coils. Follow up angiography with forceful contrast injection resulted in embolization of the coils into the patient's two remaining patent grafts. The coils were then retrieved using a micro-snare. The patient tolerated the procedure with no compromise of flow into the remaining grafts and resolution of angina following CTO PCI. (c) 2021 Elsevier Inc. All rights reserved.
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Key words
Vein graft coiling,Chronic total occlusion,Coil embolization
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