Key result
Retrograde left main stenting via saphenous vein graft enables successful revascularization in ostial chronic occlusion.
Why the study?
Percutaneous transluminal coronary angioplasty of protected left main coronary artery stenosis is usually performed by an antegrade approach, but alternative approaches may be needed when antegrade is less appropriate.
Describes a retrograde approach through a saphenous venous graft for left main coronary artery stenting in a patient with chronic ostial occlusion.
May offer bailout option for antegrade-infeasible chronic LM occlusion; case report leaves open generalizability and safety.
Percutaneous transluminal coronary angioplasty of protected left main coronary artery stenosis is usually performed by an antegrade approach. In this case report, we describe left main coronary artery stenting by a retrograde approach through a saphenous venous graft in a patient in whom the antegrade approach was considered less appropriate due to chronic ostial occlusion.
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Silvestri et al. (1996) studied this question. Retrograde left main coronary artery stenting through a saphenous venous graft was successfully performed in a patient with chronic ostial occlusion unsuitable for an antegrade approach.
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