A novel approach to the placement of Palmaz-Schatz biliary stents in saphenous vein grafts.

The placement of Palmaz-Schatz biliary stents has become a successful method to treat stenoses in large saphenous vein grafts. Unlike coronary stents, the biliary stents are not routinely delivered with a selective delivery sheath and may be more difficult to deliver and prone to detachment from the balloon and even embolization during delivery. In order to enhance the ability to deliver these stents, a guide-within-a-guide system was developed. A 7F guiding catheter was used as a selective delivery sheath within a standard guiding catheter. Nineteen biliary stents were successfully placed in vein grafts in 15 patients using this system. One procedure was complicated by an embolic event documented angiographically following intragraft delivery of urokinase but prior to stent implantation.

[1]  J. Stauffer,et al.  Endoluminal stenting of narrowed saphenous vein grafts: long-term clinical and angiographic follow-up. , 1994, Catheterization and cardiovascular diagnosis.

[2]  D. Baim,et al.  Palmaz-Schatz stenting for treatment of focal vein graft stenosis: immediate results and long-term outcome. , 1994, Journal of the American College of Cardiology.

[3]  C. White,et al.  Placement of "biliary" stents in saphenous vein coronary bypass grafts. , 1993, Catheterization and cardiovascular diagnosis.

[4]  E. Topol,et al.  Balloon angioplasty for the treatment of lesions in saphenous vein bypass grafts. , 1993, Journal of the American College of Cardiology.

[5]  U. Sigwart,et al.  Implantation of half Palmaz-Schatz stents in short aorto-ostial lesions of saphenous vein grafts. , 1993, Catheterization and cardiovascular diagnosis.

[6]  R. Strumpf,et al.  New treatment approach for chronic total occlusions of saphenous vein grafts: thrombolysis and intravascular stents. , 1993, Catheterization and cardiovascular diagnosis.

[7]  D. Baim,et al.  Investigational use of the Palmaz-Schatz biliary stent in large saphenous vein grafts. , 1993, The American journal of cardiology.

[8]  C M Gibson,et al.  Angiographic and clinical outcome of intracoronary stenting: immediate and long-term results from a large single-center experience. , 1992, Journal of the American College of Cardiology.

[9]  S. Schnitt,et al.  Acute and long-term outcome of narrowed saphenous venous grafts treated by endoluminal stenting and directional atherectomy. , 1992, The American journal of cardiology.

[10]  R. Strumpf,et al.  Palmaz-Schatz stent implantation in stenosed saphenous vein grafts: clinical and angiographic follow-up. , 1992, American heart journal.

[11]  M. Savage,et al.  Restenosis after coronary angioplasty: A multilvariate statistical model to relate lesion and procedure variables to restenosis☆ , 1991 .

[12]  P. Serruys,et al.  The Dutch experience in percutaneous transluminal angioplasty of narrowed saphenous veins used for aortocoronary arterial bypass. , 1991, The American journal of cardiology.

[13]  P. Whitlow,et al.  Percutaneous transluminal angioplasty of saphenous vein graft stenosis: long-term follow-up. , 1989, Journal of the American College of Cardiology.

[14]  D. Holmes,et al.  Angioplasty for aortocoronary bypass graft stenosis. , 1986, Mayo Clinic proceedings.

[15]  J. Heijman,et al.  Percutaneous transluminal angioplasty of stenosed aortocoronary bypass grafts. , 1984, British heart journal.

[16]  B. Meier,et al.  Percutaneous transluminal coronary angioplasty in patients with prior coronary bypass surgery. , 1983, Journal of the American College of Cardiology.