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.