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CASE REPORT
Year : 2015  |  Volume : 16  |  Issue : 1  |  Page : 34-36

Saphenous Vein Graft Perforation During Percutaneous Coronary Intervention - A Nightmare to be Avoided


Department of Cardiovascular Sciences, Gujarat University, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Surender Deora
Department of Cardiovascular Sciences, Sheth Vadilal Sarabhai General Hospital, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Gujarat University, Ahmedabad - 380 006, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.153000

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Percutaneous coronary interventions (PCIs) of saphenous vein grafts (SVGs) is challenging and is associated with adverse short- and long-term clinical outcome as compared to native coronary arteries. SVG perforation is rare but catastrophic and needs immediate attention. Various factors predisposing for SVG perforation are old degenerated graft, ulcerated plaque, severe fibrotic, or calcified lesion necessitating high pressure balloon or stent inflation, use of intravascular ultrasound (IVUS) or other atheroablative devices. Management includes prolonged balloon occlusion, reversal of anticoagulation, use of covered stent, and emergency pericadiocentesis if required.


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