Balghith Mohammed
King Abdulaziz Cardiac Center, King Saud Bin Abdulaziz Health Science University, National Guard, P.O. Box 22490, Riyadh 11426, Saudi Arabia.
J Saudi Heart Assoc. 2012 Apr;24(2):129-31. doi: 10.1016/j.jsha.2011.12.001. Epub 2011 Dec 13.
A 75-year-old man presented with acute coronary syndrome; he had a saphenous vein graft thrombosis. Percutaneous coronary intervention of bypass graft vessels is more challenging due to a higher incidence of periprocedural distal micro-emobilization and myocardial infarction. Current guidelines for percutaneous coronary intervention advocate the use of distal embolic protection devices, especially in patients with large thrombus burden, undergoing percutaneous intervention for vein graft disease. This patient was treated by manual aspiration of graft thrombus using a microvena catheter and successful clot removal was achieved. There are yet no best available therapeutic options for patients undergoing percutaneous coronary intervention of saphenous vein graft lesions.
一名75岁男性因急性冠状动脉综合征就诊；他患有大隐静脉移植血管血栓形成。由于围手术期远端微栓塞和心肌梗死的发生率较高，对旁路移植血管进行经皮冠状动脉介入治疗更具挑战性。目前的经皮冠状动脉介入治疗指南提倡使用远端栓子保护装置，尤其是对于血栓负荷大、因静脉移植血管疾病接受经皮介入治疗的患者。该患者通过使用微静脉导管手动抽吸移植血管血栓进行治疗，并成功清除了血栓。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，尚无最佳治疗选择。
