Retrograde fractional flow reserve and recanalization of a chronic total occlusion of a saphenous venous graft

Sandeep Singla; Barry F Uretsky; Rajesh Sachdeva

doi:10.1002/ccd.23398

Retrograde fractional flow reserve and recanalization of a chronic total occlusion of a saphenous venous graft

Catheter Cardiovasc Interv. 2012 Dec 1;80(7):1210-5. doi: 10.1002/ccd.23398. Epub 2012 Mar 14.

Authors

Sandeep Singla¹, Barry F Uretsky, Rajesh Sachdeva

Affiliation

¹ Central Arkansas Veterans Healthcare System & University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

PMID: 22121036
DOI: 10.1002/ccd.23398

Abstract

Chronic total occlusion (CTO) of the coronary artery represents a difficult group of lesions for percutaneous interventions. Conventionally, antegrade approach has been used to open these lesions, but recent literature provides evidence for the utility of retrograde approach in cases where initial antegrade approach is either not feasible or fails to recanalize the target vessel. This report illustrates retrograde CTO recanalization of saphenous vein graft (SVG) with fractional flow reserve utilization to determine ischemia in the territory of occluded SVG.

Publication types

Case Reports
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Angioplasty, Balloon, Coronary* / instrumentation
Chronic Disease
Collateral Circulation
Coronary Angiography
Coronary Artery Bypass / adverse effects*
Fractional Flow Reserve, Myocardial*
Graft Occlusion, Vascular / diagnostic imaging
Graft Occlusion, Vascular / etiology
Graft Occlusion, Vascular / physiopathology
Graft Occlusion, Vascular / therapy*
Hemodynamics
Humans
Male
Middle Aged
Saphenous Vein / diagnostic imaging
Saphenous Vein / physiopathology
Saphenous Vein / transplantation*
Stents
Treatment Outcome