Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota.
Catheter Cardiovasc Interv. 2020 May 1;95(6):1133-1135. doi: 10.1002/ccd.28590. Epub 2019 Nov 6.
An 84-year-old patient with prior coronary artery bypass surgery presented with non-ST segment elevation acute myocardial infarction. The culprit lesion was at the distal anastomosis of a saphenous vein graft (SVG) to the right posterior descending artery. The proximal right coronary artery was chronically occluded. Because of significant disease both proximal and distal to the SVG anastomosis, percutaneous intervention of the SVG carried high risk for acute vessel closure. The native right coronary artery chronic total occlusion was successfully recanalized, enabling complete revascularization of the right coronary artery. The SVG was then occluded using an Amplatzer vascular plug.
一位 84 岁的患者既往行冠状动脉旁路移植术，因非 ST 段抬高型急性心肌梗死就诊。罪犯病变位于隐静脉桥（SVG）至右后降支的远端吻合口。近端右冠状动脉慢性闭塞。由于 SVG 吻合口近端和远端均存在严重病变，SVG 的经皮介入治疗发生急性血管闭塞的风险很高。成功开通了慢性完全闭塞的右冠状动脉，实现了右冠状动脉的完全血运重建。然后使用 Amplatzer 血管塞封闭 SVG。
