Treatment of saphenous vein graft thrombosis with distal protection, thrombectomy, and adenosine prior to reperfusion: A complete approach to preserving microvascular integrity

Marcus St. John, Alan W. Heldman

Research output: Contribution to journalArticle

Abstract

We report the treatment of an acute myocardial infarction presenting late with thrombotic total occlusion of a saphenous vein graft. A novel approach was used to prevent microvascular obstruction and reperfusion injury, with a distal protection system, a thrombectomy device, and administration of intracoronary adenosine prior to restoration of flow, so that initial reperfusion was done with maximal microvascular vasodilatation.

Original languageEnglish (US)
Pages (from-to)336-338
Number of pages3
JournalJournal of Invasive Cardiology
Volume16
Issue number6
StatePublished - Jun 1 2004

Keywords

  • Acute myocardial infarction
  • Myocardial reperfusion injury
  • Percutaneous transluminal coronary angioplastys

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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