Successful percutaneous stenting of a right gastroepiploic coronary bypass graft using monorail delivery system: A case report

Mahmood Alam, Arshad M. Safi, Mahendra Mandawat, John E. Anderson, Tak Kwan, Alan Feit, Luther T. Clark

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The right gastroepiploic artery (RGEA) is being successfully used as an arterial conduit in a selected group of patients undergoing coronary artery bypass graft surgery. However, myocardial ischemia may result due to spasm, occlusion, and stenosis of this graft. The anastamosis site at distal right coronary artery (RCA) or posterior descending artery (PDA) is the most common location for stenosis of an in situ gastroepiploic coronary bypass graft. Balloon angioplasty of such stenoses has been reported with optimal short- term results. Stent deployment would decrease the restenosis rate, so that repeat procedures could be minimized for these technically challenging lesions. We describe a case of successful deployment of a stent with monorail delivery system at the anastamotic site stenosis of an in situ gastroepiploic right coronary artery bypass graft. This percutaneous coronary intervention could prevent redo coronary artery bypass graft surgery. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)197-199
Number of pages3
JournalCatheterization and Cardiovascular Interventions
Volume49
Issue number2
DOIs
Publication statusPublished - Feb 12 2000
Externally publishedYes

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Keywords

  • CABG surgery
  • Coronary artery disease
  • Coronary stent
  • Gastroepiploic artery
  • PTCA

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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