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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2012 April;60(2):157-66

language: English

Saphenous vein graft interventions: strategies and devices to minimize distal embolization

Gaglia M. A. Jr., Pichard A. D., Waksman R.

Department of Cardiology, Washington Hospital Center, Washington, DC, USA


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Percutaneous coronary intervention of degenerated saphenous vein grafts remains relatively high risk when compared to native vessel interventions, despite advances in pharmacotherapy and embolic protection. This article discusses the phenomenon of distal embolization that seems to plague saphenous vein graft interventions, reviews device-based strategies for embolic protection, and offers a perspective on the utility of percutaneous saphenous vein graft intervention in both elective and acute settings.

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ron.waksman@medstar.net