Key result
Embolic protection devices in ostial SVG PCI yield ~98% angiographic success despite occasional retrieval challenges.
Observational (n=109)
Answers are grounded in this paper and cite their sources.
BACKGROUND: Although embolic protection devices (EPDs) have been shown to be beneficial in saphenous vein graft (SVG) lesions, their role in the subgroup of ostial SVG lesions has received limited study. METHODS: The coronary angiograms and procedural outcomes of 109 patients undergoing stenting of 113 ostial SVG lesions were retrospectively reviewed to determine the frequency of EPD use and the periprocedural outcomes. RESULTS: Ninety-eight (87%) of the 113 lesions were suitable for EPD use, that was used in 70 lesions (71%). A Filterwire (Boston Scientific) or a SPIDER (ev3) filter were used in 54 (77%) and 16 (23%) of lesions, respectively. Difficulty retrieving the filter post stenting was encountered in eight lesions (11%) and led to stent thrombosis causing cardiac arrest in one patient (1%). Angiographic success was achieved in 111 (98%) of 113 lesions. CONCLUSIONS: EPDs can be utilized in the majority of ostial SVG lesions, but in 11% of cases filter retrieval can be challenging and may rarely (in approximately 1%) lead to a significant complication.
No takes yet. Share an insight, caveat, or question.
Abdel‐Karim et al. (2012) conducted an observational in Ostial saphenous vein graft lesions (n=109). Embolic protection devices (EPDs) was evaluated on Angiographic success. Embolic protection devices were utilized in 71% of suitable ostial SVG lesions, achieving 98% angiographic success, though filter retrieval was challenging in 11% of cases.
Synapse has enriched 10 related papers. Consider them for comparative context: