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"Around the World" – How to Reach Native Coronary Artery Lesions through Long and Tortuous Aortocoronary Bypass Grafts.

"Around the World" – How to Reach Native Coronary Artery Lesions through Long and Tortuous Aortocoronary Bypass Grafts.
Author Information (click to view)

Tajti P, Sandoval Y, Brilakis ES,


Tajti P, Sandoval Y, Brilakis ES, (click to view)

Tajti P, Sandoval Y, Brilakis ES,

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Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese 2018 01 03() pii S1109-9666(17)30607-3
Abstract

For patients with prior coronary artery bypass graft surgery, reaching lesions in native coronary arteries distal to the anastomosis of bypass grafts can be challenging due to long distance between the graft ostium and the lesion and significant tortuosity that needs to be traversed. We describe one such lesion in a patient presenting with non-ST segment elevation myocardial infarction and cardiogenic shock. The lesion was successfully treated using a variety of strategies, including use of a short guide catheter, long guidewire, a guide catheter extension, long shaft balloons and stents, and short length stents.

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