Intracoronary stenting can be utilized to treat obstructive kinks in LIMA grafts occurring shortly after CABG surgery.
Stenting may offer a percutaneous option for early post-CABG LIMA kinks; single case leaves open durability and generalizability.
Left internal mammary arteries (LIMA) are used routinely as grafts to the left anterior descending coronary artery (LAD) in selected patients undergoing coronary artery bypass graft (CABG) surgery because of better long-term patency rates. Pathology other than fibrointimal hyperplasia, accelerated atherosclerosis, or thrombus can sometimes cause obstructive lesions in such grafts. This report illustrates a kink in a LIMA graft to the LAD causing an obstructive lesion shortly after surgery and describes the subsequent management of this lesion with intracoronary stents.
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Rerkpattanapipat et al. (1999) studied this question.
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