Saphenous vein graft perforation during percutaneous coronary intervention

A case series

Konstantinos Marmagkiolis, Emmanouil S. Brilakis, Abdul Hakeem, Mehmet Cilingiroglu, Luc Bilodeau

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Introduction: The outcomes of perforation during aortocoronary saphenous vein graft (SVG) percutaneous coronary intervention (PCI) are poorly studied. Methods: We reviewed all 12 SVG perforations that occurred between November 2005 and November 2011 at two tertiary referral centers. The acute and long-term outcomes of these patients were examined. Results: The perforation was located in the SVG body (n ≤ 6), aortic (n ≤ 3), or distal (n ≤ 3) anastomosis. Most perforations occurred after stent implantation (n ≤ 5) or after stent postdilation (n ≤ 3). The perforation was Ellis class I in 1 patient, II in 3 patients, III in 4 patients, and III with cavity spilling in 3 patients. The perforation spontaneously sealed without requiring further treatment in 3 patients. In the remaining 9 patients, the perforation was treated with prolonged balloon inflation (n ≤ 2) or covered stent implantation (n ≤ 5), but could not be treated in 2 patients who died during the procedure. Seven of the 10 survivors underwent follow-up angiography 5 months to 2 years after the perforation. The target SVG was occluded in 5 patients and had developed severe stenosis in the remaining 2 patients. Conclusions: SVG perforation during PCI carries a high mortality and frequently requires implantation of a covered stent. Perforated SVGs frequently occlude within 2 years post PCI.

Original languageEnglish (US)
Pages (from-to)157-161
Number of pages5
JournalJournal of Invasive Cardiology
Volume25
Issue number3
StatePublished - Mar 2013

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Saphenous Vein
Percutaneous Coronary Intervention
Transplants
Stents
Economic Inflation
Tertiary Care Centers
Survivors
Angiography
Pathologic Constriction
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Marmagkiolis, K., Brilakis, E. S., Hakeem, A., Cilingiroglu, M., & Bilodeau, L. (2013). Saphenous vein graft perforation during percutaneous coronary intervention: A case series. Journal of Invasive Cardiology, 25(3), 157-161.

Saphenous vein graft perforation during percutaneous coronary intervention : A case series. / Marmagkiolis, Konstantinos; Brilakis, Emmanouil S.; Hakeem, Abdul; Cilingiroglu, Mehmet; Bilodeau, Luc.

In: Journal of Invasive Cardiology, Vol. 25, No. 3, 03.2013, p. 157-161.

Research output: Contribution to journalArticle

Marmagkiolis, K, Brilakis, ES, Hakeem, A, Cilingiroglu, M & Bilodeau, L 2013, 'Saphenous vein graft perforation during percutaneous coronary intervention: A case series', Journal of Invasive Cardiology, vol. 25, no. 3, pp. 157-161.
Marmagkiolis, Konstantinos ; Brilakis, Emmanouil S. ; Hakeem, Abdul ; Cilingiroglu, Mehmet ; Bilodeau, Luc. / Saphenous vein graft perforation during percutaneous coronary intervention : A case series. In: Journal of Invasive Cardiology. 2013 ; Vol. 25, No. 3. pp. 157-161.
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