Role of embolic protection devices in ostial saphenous vein graft lesions

Abdul Rahman R Abdel-Karim, Aristotelis C. Papayannis, Arif Mahmood, Tesfaldet T. Michael, Bavana V. Rangan, Lorenza Makke, Subhash Banerjee, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study. Methods The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes. Results Ninety-eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions. Conclusions EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication.

Original languageEnglish (US)
Pages (from-to)1120-1126
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Volume80
Issue number7
DOIs
StatePublished - Dec 1 2012

Keywords

  • bypass grafts coronary (GRFT)
  • embolization (EMBO)
  • percutaneous coronary intervention (PCI)

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Abdel-Karim, A. R. R., Papayannis, A. C., Mahmood, A., Michael, T. T., Rangan, B. V., Makke, L., Banerjee, S., & Brilakis, E. S. (2012). Role of embolic protection devices in ostial saphenous vein graft lesions. Catheterization and Cardiovascular Interventions, 80(7), 1120-1126. https://doi.org/10.1002/ccd.23471