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Successful reversal of cardiogenic shock precipitated by saphenous vein graft distal embolization using aspiration

M Dooris1, C L Grines

  • 1William Beaumont Hospital, Division of Cardiology, Royal Oak, MI 48073-6769.

Catheterization and Cardiovascular Diagnosis
|November 1, 1994
PubMed

Insights

Aspiration thrombectomy successfully treated a saphenous vein graft clot causing cardiogenic shock after cardiac catheterization. This minimally invasive procedure resolved the obstruction and reversed the shock.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Saphenous vein grafts (SVGs) are commonly used in coronary artery bypass grafting (CABG).
  • SVG lesions can lead to acute complications, including thrombosis and embolization.
  • Embolization from SVG lesions can precipitate severe hemodynamic compromise, such as cardiogenic shock.

Observation:

  • A 74-year-old male patient developed cardiogenic shock following cardiac catheterization.
  • The complication was attributed to embolization of a thrombotic lesion in a proximal saphenous vein graft.
  • The obstruction severely impaired cardiac function, leading to a life-threatening condition.

Findings:

  • Successful aspiration thrombectomy was performed using a 7F multipurpose guiding catheter.
  • The catheter was advanced directly to the site of the thrombotic obstruction in the SVG.
  • Complete angiographic resolution of the embolized lesion was achieved.

Implications:

  • Aspiration thrombectomy is a viable and effective treatment for SVG thrombosis causing cardiogenic shock.
  • This interventional technique can rapidly restore coronary blood flow and reverse hemodynamic instability.
  • Minimally invasive approaches offer a promising alternative for managing acute SVG complications.

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