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Case report describes successful retrograde left main stenting via a saphenous venous graft, highlighting an alternative access route during chronic ostial occlusion.
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.
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