Key result
Percutaneous stenting using a monorail delivery system was successfully deployed at the anastomotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft.
Case Report (n=1)
Percutaneous stenting using a monorail delivery system is feasible for treating anastomotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft, potentially preventing redo CABG.
Suggests a percutaneous option for rare gastroepiploic graft stenoses; hypothesis-generating and requires prospective validation before practice change.
The right gastroepiploic artery (RGEA) is being successfully used as an arterial conduit in a selected group of patients undergoing coronary artery bypass graft surgery. However, myocardial ischemia may result due to spasm, occlusion, and stenosis of this graft. The anastamosis site at distal right coronary artery (RCA) or posterior descending artery (PDA) is the most common location for stenosis of an in situ gastroepiploic coronary bypass graft. Balloon angioplasty of such stenoses has been reported with optimal short-term results. Stent deployment would decrease the restenosis rate, so that repeat procedures could be minimized for these technically challenging lesions. We describe a case of successful deployment of a stent with monorail delivery system at the anastamotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft. This percutaneous coronary intervention could prevent redo coronary artery bypass graft surgery. Cathet. Cardiovasc. Intervent. 49:197-199, 2000.
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Alam et al. (2000) conducted a case report in Anastomotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft (n=1). Percutaneous stenting using monorail delivery system was evaluated on Successful stent deployment. Percutaneous stenting using a monorail delivery system was successfully deployed at the anastomotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft.
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