Successful retrograde recanalization of an acute iatrogenic venous graft occlusion through the previously stented coronary anastomosis in a patient with non-ST elevation myocardial infarction

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Abstract

Iatrogenic venous graft occlusion is a rare but very serious and potentially fatal procedure-related complication of a diagnostic coronary and graft angiography. Management of this event may vary from conservative to percutaneous and even to redo coronary bypass surgery depending on the type of the occlusion or dissection and patient's hemodynamic status.
We present a case of the non-ST elevation myocardial infarction patient who suffered an acute iatrogenic graft occlusion by the diagnostic catheter during angiography with subsequent successful retrograde graft recanalization through the previously stented anastomosis. To our knowledge this is the first described successful retrograde recanalization of acute iatrogenic venous graft occlusion through the stented anastomosis in a patient with acute coronary syndrome and previous coronary artery bypass surgery.
Original languageEnglish
Pages (from-to)825-828
Number of pages4
JournalRadiology Case Reports
Volume13
Issue number4
DOIs
Publication statusPublished - 1 Aug 2018

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Transplants
Acute Coronary Syndrome
Coronary Angiography
Coronary Artery Bypass
Dissection
Angiography
Catheters
Hemodynamics
Non-ST Elevated Myocardial Infarction

Cite this

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title = "Successful retrograde recanalization of an acute iatrogenic venous graft occlusion through the previously stented coronary anastomosis in a patient with non-ST elevation myocardial infarction",
abstract = "Iatrogenic venous graft occlusion is a rare but very serious and potentially fatal procedure-related complication of a diagnostic coronary and graft angiography. Management of this event may vary from conservative to percutaneous and even to redo coronary bypass surgery depending on the type of the occlusion or dissection and patient's hemodynamic status. We present a case of the non-ST elevation myocardial infarction patient who suffered an acute iatrogenic graft occlusion by the diagnostic catheter during angiography with subsequent successful retrograde graft recanalization through the previously stented anastomosis. To our knowledge this is the first described successful retrograde recanalization of acute iatrogenic venous graft occlusion through the stented anastomosis in a patient with acute coronary syndrome and previous coronary artery bypass surgery.",
keywords = "Coronary artery bypass surgery, Iatrogenic graft dissection, Myocardial infarction, Percutaneous coronary intervention, Retrograde recanalization",
author = "Khilchuk, {Anton A.} and Щербак, {Сергей Григорьевич} and Сарана, {Андрей Михайлович} and Власенко, {Сергей Васильевич} and Abdulkarim, {Dana D.}",
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doi = "10.1016/j.radcr.2018.04.008",
language = "English",
volume = "13",
pages = "825--828",
journal = "Radiology Case Reports",
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TY - JOUR

T1 - Successful retrograde recanalization of an acute iatrogenic venous graft occlusion through the previously stented coronary anastomosis in a patient with non-ST elevation myocardial infarction

AU - Khilchuk, Anton A.

AU - Щербак, Сергей Григорьевич

AU - Сарана, Андрей Михайлович

AU - Власенко, Сергей Васильевич

AU - Abdulkarim, Dana D.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Iatrogenic venous graft occlusion is a rare but very serious and potentially fatal procedure-related complication of a diagnostic coronary and graft angiography. Management of this event may vary from conservative to percutaneous and even to redo coronary bypass surgery depending on the type of the occlusion or dissection and patient's hemodynamic status. We present a case of the non-ST elevation myocardial infarction patient who suffered an acute iatrogenic graft occlusion by the diagnostic catheter during angiography with subsequent successful retrograde graft recanalization through the previously stented anastomosis. To our knowledge this is the first described successful retrograde recanalization of acute iatrogenic venous graft occlusion through the stented anastomosis in a patient with acute coronary syndrome and previous coronary artery bypass surgery.

AB - Iatrogenic venous graft occlusion is a rare but very serious and potentially fatal procedure-related complication of a diagnostic coronary and graft angiography. Management of this event may vary from conservative to percutaneous and even to redo coronary bypass surgery depending on the type of the occlusion or dissection and patient's hemodynamic status. We present a case of the non-ST elevation myocardial infarction patient who suffered an acute iatrogenic graft occlusion by the diagnostic catheter during angiography with subsequent successful retrograde graft recanalization through the previously stented anastomosis. To our knowledge this is the first described successful retrograde recanalization of acute iatrogenic venous graft occlusion through the stented anastomosis in a patient with acute coronary syndrome and previous coronary artery bypass surgery.

KW - Coronary artery bypass surgery

KW - Iatrogenic graft dissection

KW - Myocardial infarction

KW - Percutaneous coronary intervention

KW - Retrograde recanalization

UR - http://www.mendeley.com/research/successful-retrograde-recanalization-acute-iatrogenic-venous-graft-occlusion-through-previously-sten

U2 - 10.1016/j.radcr.2018.04.008

DO - 10.1016/j.radcr.2018.04.008

M3 - Article

VL - 13

SP - 825

EP - 828

JO - Radiology Case Reports

JF - Radiology Case Reports

SN - 1930-0433

IS - 4

ER -