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- Publisher
- Wiley
- Copyright
- Copyright © 1994 Wiley Subscription Services, Inc., A Wiley Company
- ISSN
- 0896-4327
- eISSN
- 1540-8183
- DOI
- 10.1111/j.1540-8183.1994.tb00900.x
- Publisher site
- See Article on Publisher Site
Abstract
Introduction Medically refractory angina after coronary artery bypass surgery is a difficult management problem. Repeat coronary surgery is technically more difficult, and associated with increased morbidity and mortality, when compared with a first operation. ' Conventional balloon angioplasty has been used as an alternative to surgery for selected patients with diseased saphenous vein bypass grafts. However balloon angioplasty is associated with a restenosis rate in the order of 60%-70% for lesions in the body of vein grafts.' Stent implantation has been advocated as an alternative or adjunct to balloon angioplasty for diseased vein grafk3q4Although a number of different types of stents have been successfully deployed in vein grafts none of the currently available stents are ideally suited for this purpose for a number of reasons. Most are unsuitable for large caliber vein grafts with long segments of disease. In this paper we report the first implantation in a saphenous vein bypass graft of a selfexpanding Wallstent (Schneider) designed for use in larger peripheral vessels. Case History A 61-year-old man with a history of myocardial infarction in 1974 began to suffer exertional angina in 1979. In 1980 he underwent coronary artery bypass graft surgery with saphenous vein grafts to
Journal
Journal of Interventional Cardiology – Wiley
Published: Apr 1, 1994