Related Experiment Video
Updated: Aug 19, 2026
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
[Percutaneous intervention to a radial coronary artery graft. Initial results and follow-up]
Adrián Beloscar1, Jordi Guarinos, Luis Gutiérrez
1Servicio de Cardiología, Hospital Joan XXIII, Tarragona, Spain. beloscar@wanadoo.es
Insights
Radial artery grafts are increasingly used in bypass surgery. Percutaneous coronary intervention effectively treated graft failure due to new blockages, keeping the patient symptom-free.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Radial artery grafts are increasingly utilized for coronary artery bypass grafting.
- Limited data exists on percutaneous coronary intervention (PCI) for radial artery graft failure.
Observation:
- A patient with a radial artery graft developed recurrent angina due to new blockages (de novo stenosis) in the graft.
Findings:
- The patient underwent successful balloon angioplasty and stenting for the initial graft stenosis.
- A subsequent de novo stenosis in the same radial artery graft was also successfully treated with balloon angioplasty.
- The patient remained asymptomatic with no signs of ischemia at follow-up.
Implications:
- Percutaneous coronary intervention, including angioplasty and stenting, is a viable treatment option for radial artery graft stenosis.
- This case highlights the potential for successful management of radial artery graft failure using interventional techniques.
- Further research is warranted to establish best practices for managing radial artery graft complications.
Abstract:
The use of radial artery grafts for coronary bypass surgery is becoming more frequent. However, experience with percutaneous coronary intervention for radial artery graft failure is limited. We describe a patient with a radial artery graft in whom angina reappeared because of de novo stenosis in the graft. The patient was successfully treated with balloon angioplasty and stenting. At 6 months he again had angina due to a second de novo stenosis of the radial artery graft, which was also treated with angioplasty. At follow-up the patient remained asymptomatic with no evidence of ischemia.
