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Case Reports
. 2018 Jun 14;13(4):825-828.
doi: 10.1016/j.radcr.2018.04.008. eCollection 2018 Aug.

Successful retrograde recanalization of an acute iatrogenic venous graft occlusion through the previously stented coronary anastomosis in a patient with non-ST elevation myocardial infarction

Sergey V Vlasenko  1   2 , Maksim V Agarkov  1 , Anton A Khilchuk  1 , Sergey G Scherbak  2 , Andrey M Sarana  2 , Vitaliy V Popov  1 , Dana D Abdulkarim  2
Affiliations
Case Reports

Successful retrograde recanalization of an acute iatrogenic venous graft occlusion through the previously stented coronary anastomosis in a patient with non-ST elevation myocardial infarction

Sergey V Vlasenko et al. Radiol Case Rep. .
No abstract available

Keywords: Coronary artery bypass surgery; Iatrogenic graft dissection; Myocardial infarction; Percutaneous coronary intervention; Retrograde recanalization.

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Figures

Fig 1
Fig. 1
Left anterior descending artery without significant stenoses (A and B). Occluded obtuse marginal artery (arrow) (C). Occluded right coronary artery (arrow) (D). Right coronary artery venous graft (E). Obtuse marginal venous graft: note significant ostial stenosis and in stent restenosis in the previously implanted stent (arrows).
Fig 2
Fig. 2
Obtuse marginal venous graft angiography pre (A) and post (B) dissection with subsequent occlusion (arrows).
Fig 3
Fig. 3
Obtuse marginal artery anterograde recanalization attempt (arrow shows the tip of the wire) (A). Obtuse marginal artery wire in the false lumen (arrowhead) (B). Retrograde true lumen passage through the stented anastomosis (arrowhead shows the stent (C). Snaring the retrograde wire (arrow shows snared wire) (D). Anterograde graft balloon angioplasty (asterisk) (E). Ostium stent positioning (arrow) (F).
Fig 4
Fig. 4
Venous graft stenting (A) and final result after in stent angioplasty (asterisk shows the stented segment and arrowhead shows anastomosis after the angioplasty) (B).
See this image and copyright information in PMC

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