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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
08:05

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

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Mid-term follow-up after retrograde recanalization of chronically occluded saphenous vein graft

Alfredo R Galassi1, Salvatore D Tomasello, Luca Costanzo

  • 1Ferrarotto Hospital, University of Catania, ETNA Foundation, Italy. argalassi@virgilio.it

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
|February 13, 2010
PubMed

Insights

A chronically occluded saphenous vein graft in a 55-year-old male was successfully recanalized using a retrograde approach. This intervention maintained graft patency and improved distal vessel diameter six months post-procedure.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Saphenous vein grafts (SVGs) are crucial for coronary artery bypass grafting (CABG).
  • Ostial occlusion of SVGs presents a significant challenge in managing coronary artery disease.
  • Recanalization of chronically occluded grafts is technically demanding.

Observation:

  • A 55-year-old male patient presented with symptoms attributed to an occluded SVG.
  • The occlusion was located at the ostium of the saphenous vein graft.
  • An epicardial collateral channel was identified as a potential retrograde access route.

Findings:

  • A retrograde approach via an epicardial collateral channel successfully recanalized the occluded SVG.
  • Three drug-eluting stents were implanted to ensure sustained patency.
  • Six-month follow-up coronary angiography confirmed the graft's patency and revealed enhancement of the distal native vessel diameter.

Implications:

  • This case demonstrates the feasibility and effectiveness of retrograde recanalization for chronically occluded SVGs.
  • The use of drug-eluting stents appears beneficial in maintaining long-term graft patency.
  • This approach offers a potential alternative strategy for managing complex SVG occlusions.

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