Comparison of debulking followed by stenting versus stenting alone for saphenous vein graft aortoostial lesions: immediate and one-year clinical outcomes
Javed M. Ahmed, MD, MRCPa,
Mun K. Hong, MD, FACCa,
Roxana Mehran, MD, FACCa,
Gary S. Mintz, MD, FACCa,
Alexandra J. Lansky, MDa,
Augusto D. Pichard, MD, FACCa,
Lowell F. Satler, MD, FACCa,
Kenneth M. Kent, MD, PhD, FACCa,
Hongsheng Wu, PhDa,
Gregg W. Stone, MD, FACCa and
Martin B. Leon, MD, FACCa
a The Cardiovascular Research Foundation, Washington Hospital Center, Washington, DC, USA
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Figure 1 Representative angiogram of a 61-year-old patient reveals severe ostial lesion in the saphenous vein graft to the diagonal branch of the left anterior descending artery (A, arrows). Laser catheter positioned across the ostium of the graft (B, arrow). After treatment with laser and implantation of a 4 mm biliary Palmaz-Schatz stent, excellent angiographic results were achieved (C, arrow).
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Figure 2 Actuarial event free survival curves for any adverse cardiac events (death, Q wave myocardial infarction, percutaneous transluminal coronary angioplasty and coronary artery bypass grafting, top) and TLR (bottom) at 12 months after debulking and stenting versus stenting alone in aortoostial saphenous vein graft lesions. TLR = target lesion revascularization.
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