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Updated: Feb 10, 2026

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

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Percutaneous treatment of a single saphenous vein graft with two different protection devices

Francesco Bedogni1, Nuccia Morici, Nedy Brambilla

  • 1Interventional Cardiology Department, Sant'Ambrogio Clinical Institute, Via Faravelli, 16-20149-Milano, Italy. fbedogni@tin.it

The Journal of Invasive Cardiology
|June 5, 2008
PubMed

Insights

Catheter interventions in saphenous vein bypass grafts can cause embolization complications. This case study explores using both filter-based and proximal occlusion devices to protect against plaque debris during treatment.

Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Vascular surgery

Background:

  • Catheter-based interventions are standard for saphenous vein aorto-coronary bypass grafts.
  • These procedures risk distal embolization of atherosclerotic plaque, leading to complications.
  • Existing protection devices, including occlusion and filter types, show similar efficacy.

Observation:

  • This report details a case involving two distinct lesions within a single saphenous vein graft.
  • A filter-based protection device was employed for the proximal lesion.
  • A proximal occlusion balloon device was utilized for the distal lesion.

Findings:

  • Both filter-based and proximal occlusion devices were used sequentially in the same saphenous vein graft.
  • This approach addresses potential distal embolization during intervention.
  • Comparable results were observed between the two device types in this scenario.

Implications:

  • This dual-device strategy may offer a flexible approach to managing complex lesions in bypass grafts.
  • Further research could validate the safety and effectiveness of combining different embolic protection devices.
  • Optimizing embolic protection strategies is crucial for improving outcomes in bypass graft interventions.

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