Key result
The simultaneous kissing stent technique was successfully used to treat an inverted Y saphenous vein graft bifurcation lesion, resulting in TIMI III flow and successful patient discharge.
Case Report (n=1)
No
The simultaneous kissing stent technique is a feasible approach for treating rare inverted Y saphenous vein graft bifurcation lesions in patients presenting with acute coronary syndrome.
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Supports feasibility of kissing stents in rare inverted Y SVG lesions; leaves open need for prospective data before practice change.
Coronary artery bifurcation disease of a saphenous vein graft (SVG) is extremely rare. SVG disease remains a challenging lesion to treat because of increased morbidity and mortality with repeated coronary artery bypass graft (CABG) surgery, a high rate of periprocedural complications, and in-stent restenosis or occlusion requiring repeat revascularization with percutaneous coronary intervention. Presently described is use of the simultaneous kissing stent technique to treat inverted Y SVG bifurcation disease in a patient with a prior CABG and new-onset acute coronary syndrome.
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Emrah Bayam (2018) conducted a case report in Inverted Y saphenous vein graft bifurcation disease (n=1). Simultaneous kissing stent technique was evaluated on Procedural success (angiographic result). The simultaneous kissing stent technique was successfully used to treat an inverted Y saphenous vein graft bifurcation lesion, resulting in TIMI III flow and successful patient discharge.
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