Does complete revascularization by the conventional method truly provide the best possible results?

Progression of native coronary artery disease proximal to the placement of saphenous vein grafts may leave arterial segments isolated by stenoses on either side. In 16 patients, we attempted coronary angioplasty in a retrograde direction through saphenous vein grafts to revascularize 17 isolated arterial segments. The retrograde dilatation was successful in 12 of 17 attempts (71%). Failure in 5 attempts was due to severe angulation between the graft insertion site and the retrograde proximal arterial limb. There were no major complications of these procedures. Symptoms and signs of myocardial ischemia were relieved following successful retrograde dilatation. Thus, retrograde dilatation through saphenous vein grafts provides another means of achieving complete revascularization using coronary angioplasty in patients with prior coronary bypass surgery.

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Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts

Kahn

Hartzler

1990

Cathet. Cardiovasc. Diagn.

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Perioperative myocardial infarction in patients undergoing off-pump coronary artery bypass grafting

Sakamoto

Ochi

Bessho

et al. 2003

Jpn J Thorac Caridovasc Surg

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Two patients in whom myocardial infarction in the inferior wall occurred after off-pump coronary artery bypass grafting (OPCAB) are described. In both patients, the right coronary artery had no critical lesion and was not grafted. There was no ischemic episode during operation. Coronary artery spasms and/or intracoronary thrombus formation may have been causes of these events. To our knowledge, this is the first report on perioperative myocardial infarction in OPCAB.

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Clinical and angiographic follow-up after coronary angioplasty in patients with two-vessel disease: Influence of completeness and adequacy of revascularization on long-term outcome

Cavallini¹,

Risica²,

Olivari³

et al. 1994

American Heart Journal

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Does complete revascularization by the conventional method truly provide the best possible results?

Cited by 34 publications

References 38 publications

Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts

Retrograde coronary angioplasty of isolated arterial segments through saphenous vein bypass grafts

Perioperative myocardial infarction in patients undergoing off-pump coronary artery bypass grafting

Clinical and angiographic follow-up after coronary angioplasty in patients with two-vessel disease: Influence of completeness and adequacy of revascularization on long-term outcome

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