Case of coil dislodgement in saphenous vein graft coil occlusion in retrograde chronic total occlusion percutaneous coronary intervention

Basit Öğe Kaydı
dc.contributor.authorHashemi, Arash
dc.contributor.authorKaragöz, Ahmet
dc.contributor.authorUçar, Melisa F.
dc.contributor.authorZoghi, Mehdi
dc.contributor.authorGhaffari, Lida
dc.date.accessioned2025-09-28T09:32:29Z
dc.date.available2025-09-28T09:32:29Z
dc.date.issued2025
dc.description.abstractWe report the case of a 78-year-old male with a history of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) to the saphenous vein graft (SVG) to the obtuse marginal artery (OM). The patient presented with acute coronary syndrome and was referred for tertiary care after coronary angiography revealed in-stent restenosis in a thrombotic SVG, along with chronic total occlusion (CTO) of the left circumflex (LCx) artery. Our initial plan was intervention of SVG to OM due to stent restenosis and thrombosis. During the procedure, a balloon rupture resulted in dissection and hematoma. As a bailout intervention, native LCx with CTO ostial stenting was performed, followed by coil occlusion of the SVG. Complications arose when the coil dislodged and fragmented, leading to embolization of one particle in the descending aorta and the other in the femoral artery. Both fragments were successfully retrieved via snare. This case highlights the complexity of managing SVG-related PCI complications and the importance of careful device handling during coiling procedures. © 2025 Elsevier B.V., All rights reserved.
dc.identifier.doi10.35366/120547
dc.identifier.endpage124
dc.identifier.issn2954-3835
dc.identifier.issn2683-2828
dc.identifier.issue2
dc.identifier.scopus2-s2.0-105012985144
dc.identifier.scopusqualityQ4
dc.identifier.startpage120
dc.identifier.urihttps://hdl.handle.net/11454/119910
dc.identifier.volume36
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherAsociacion Nacional de Cardiologos de Mexico
dc.relation.ispartofCardiovascular and Metabolic Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzScopus_20250927
dc.subjectChronic Total Occlusion; Coil; Saphenous Vein Graft; Acute Coronary Syndrome; Aged; Article; Balloon Rupture; Blood Clot Lysis; Case Report; Chronic Total Occlusion; Clinical Article; Coil Embolization; Coronary Angiography; Coronary Artery Blood Flow; Descending Aorta; Dyspnea; Electrocardiography; Heart Infarction; Hematoma; Human; In-stent Restenosis; Male; Medical History; Obtuse Marginal Artery; Patient History Of Coronary Angioplasty; Patient History Of Coronary Artery Bypass Graft; Percutaneous Coronary Intervention; Q Wave; Saphenous Vein Graft; Sinus Rhythm; Stent Dislodgement; Stent Thrombosis; Thorax Pain
dc.titleCase of coil dislodgement in saphenous vein graft coil occlusion in retrograde chronic total occlusion percutaneous coronary intervention
dc.title.alternativeMigración de coil de un puente de vena safena durante la intervención percutánea de una oclusión crónica vía retrógrada
dc.typeArticle

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu