Balghith Mohammed
King Abdulaziz Cardiac Center, King Saud Bin Abdulaziz Health Science University, Riyadh, Saudi Arabia.
Heart Views. 2012 Jan;13(1):19-21. doi: 10.4103/1995-705X.96665.
Percutaneous coronary intervention of grafts vessel is more challenging due to a higher incidence of periprocedural distal micro-emobilization and myocardial infarction. Percutaneous coronary intervention current guidelines advocate usage of distal embolic protection devices, especially in patients with a large thrombus burden, undergoing percutaneous intervention for vein graft disease. We present a 75-year-old man with acute coronary syndrome who had saphenous vein graft thrombus. This patient was treated successfully by manual aspiration of graft thrombus using a microvena catheter. There is yet no best available therapeutic options for patients undergoing percutaneous coronary intervention of saphenous vein graft lesions.
由于围手术期远端微栓塞和心肌梗死的发生率较高，移植血管的经皮冠状动脉介入治疗更具挑战性。经皮冠状动脉介入治疗现行指南提倡使用远端栓塞保护装置，尤其是对于有大量血栓负荷、因静脉移植血管病变接受经皮介入治疗的患者。我们报告一名75岁患有急性冠状动脉综合征且有大隐静脉移植血管血栓形成的男性患者。该患者通过使用微静脉导管手动抽吸移植血管血栓而成功接受治疗。对于接受大隐静脉移植血管病变经皮冠状动脉介入治疗的患者，目前尚无最佳治疗选择。
