PMID- 28185396
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR  - 20180507
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 90
IP  - 2
DP  - 2017 Aug 1
TI  - Primary percutaneous coronary intervention of native chronic total occlusions to 
      treat ST elevation myocardial infarction secondary to acute vein graft occlusion.
PG  - 251-256
LID - 10.1002/ccd.26905 [doi]
AB  - Primary percutaneous coronary intervention (PCI) is the treatment modality of 
      choice in patients presenting with ST elevation myocardial infarction (STEMI). 
      Clinical outcomes have dramatically improved with the wide adoption of primary 
      PCI in patients with STEMI because of acute thrombotic native coronary artery 
      occlusion. However, patients with prior coronary artery bypass graft (CABG) 
      surgery who present with STEMI because of acute saphenous vein graft (SVG) 
      occlusion continue to have worse outcomes because of poor acute and long-term 
      results of SVG stenting. Therefore, it may be preferable to treat the native 
      coronary artery supplied by the occluded graft although this can be challenging 
      if the native vessel is a chronic total occlusion (CTO). Recent advances in 
      technology and techniques in CTO PCI have significantly improved the success rate 
      and efficiency of CTO procedures. At our institution we have developed a high 
      volume CTO programme with high success rates. We present three cases of acute 
      inferior STEMI because of SVG occlusion which were treated with successful 
      retrograde PCI of the native vessel CTO, utilising the occluded graft as a 
      retrograde channel in two cases and native septal collaterals in the other. 
      Thrombolysis In Myocardial Infarction (TIMI) 3 flow in the native coronary artery 
      was achieved in all three cases with good acute outcomes. Our case series 
      highlights the benefits of a high volume CTO programme. With recent advances in 
      CTO techniques, acute PCI to native vessel CTO is feasible and may be the 
      treatment of choice in selected cases of acute SVG failure. (c) 2017 Wiley 
      Periodicals, Inc.
CI  - (c) 2017 Wiley Periodicals, Inc.
FAU - Deharo, Pierre
AU  - Deharo P
AD  - Bristol Royal Infirmary, Bristol Heart Institute, Bristol, BS2 8HW, United 
      Kingdom.
FAU - Strange, Julian W
AU  - Strange JW
AD  - Bristol Royal Infirmary, Bristol Heart Institute, Bristol, BS2 8HW, United 
      Kingdom.
FAU - Mozid, Abdul
AU  - Mozid A
AD  - Bristol Royal Infirmary, Bristol Heart Institute, Bristol, BS2 8HW, United 
      Kingdom.
LA  - eng
PT  - Case Reports
DEP - 20170210
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Chronic Disease
MH  - Coronary Angiography
MH  - Coronary Artery Bypass/*adverse effects
MH  - Coronary Occlusion/complications/diagnostic imaging/*therapy
MH  - Female
MH  - Graft Occlusion, Vascular/diagnostic imaging/etiology/*therapy
MH  - Humans
MH  - Male
MH  - *Percutaneous Coronary Intervention
MH  - ST Elevation Myocardial Infarction/diagnostic imaging/etiology/*therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - STEMI
OT  - chronic total occlusion
OT  - retrograde PCI
OT  - reverse CART
EDAT- 2017/02/12 06:00
MHDA- 2018/05/08 06:00
CRDT- 2017/02/11 06:00
PHST- 2016/08/03 00:00 [received]
PHST- 2016/11/03 00:00 [revised]
PHST- 2016/12/11 00:00 [accepted]
PHST- 2017/02/12 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
PHST- 2017/02/11 06:00 [entrez]
AID - 10.1002/ccd.26905 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2017 Aug 1;90(2):251-256. doi: 10.1002/ccd.26905. 
      Epub 2017 Feb 10.