Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) license, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Novel Use of a Peripheral, Self-Expanding Nitinol Stent in Adjunct to Excimer Laser Coronary Atherectomy in the Treatment of Degenerated Vein Graft Disease
Ronald D. Gim *, Syed W. Bokhari †, Rex J. Winters ‡
Affiliations
Article Info
1 Division of Cardiology, University of California-Irvine, Orange, CA
2020 Section of Cardiology, University of Chicago-Pritzker School of Medicine, Chicago, IL
2021 Division of Cardiology, University of California-Irvine, Orange, CA and Interventional Cardiology, Long Beach Memorial Medical Center, Long Beach, CA
Abstract
Decades of successful surgical revascularization of coronary artery disease have led to a growing population with saphenous vein graft disease. However, the treatment of degenerated saphenous vein graft still remains controversial. We report a novel but successful use of a peripheral, self-expanding nitinol stent in adjunct to excimer laser coronary atherectomy (ELCA) in the treatment of symptomatic, degenerated saphenous vein graft disease. The procedure was tolerated well without any short- or long-term complications. The case report is followed by a review of the literature on the treatment of vein graft disease.
Keywords
- Saphenous vein graft disease
- Peripheral
- self-expanding nitinol stent
- Excimer laser coronary atherectomy (ELCA)