Abstract
Since it was first used and reported in 1987, the gastropepiploic artery (GEA) has emerged as an effective third or isolated arterial conduit for complete bypass grafting or for use in cases of limited graft numbers or poor quality vein grafts. Percutaneous intervention on the GEA graft can pose technical challenges by virtue of its anatomy and the more common occurrence of the stenosis distally at their anastomosis with the coronary artery. Here we describe the clinical utility of a 4 Fr straight guiding catheter for treatment of stenosis in a GEA coronary bypass graft.
Similar content being viewed by others
References
Isshiki T, Yamaguchi T, Tamura T, Saeki F, Furuta Y, Ikari Y, Chiku N, Suma H. Percutaneous angioplasty of stenosed gastroepiploic artery grafts. J Am Coll Cardiol. 1993;22:727–32.
Hillegass WB, Zoghbi GJ, Pandey A, Misra VK, Chapman GD, Brott BC. Treatment of in-stent restenosis in a gastroepiploic artery coronary bypass graft with brachytherapy. J Invasive Cardiol. 2003;15:677–80.
Mills NL, Hockmuth DR, Everson CT, Robart CC. Right gastroepiploic artery used for coronary artery bypass grafting. Evaluation of flow characteristics and size. J Thorac Cardiovasc Surg. 1993;106:579–85.
Sharma G, Louvard Y, Tavolaro O, Lefèvre T, Loubeyre C, Dumas P, Morice M. Less invasive PTCA of a gastroepiploic artery combining the transradial approach and 5 Fr guiding catheter: a case report. Cathet Cardiovasc Intervent. 2002;56:494–7.
Kler TS, Mathur A, Jhamb DK, Seth A. Angioplasty of pedicled right gastroepiploic artery graft through a six Fr diagnostic catheter. J Invas Cardiol. 1999;11:638–9.
Takeshita S, Shiono T, Takagi A, Ito T, Saito S. Percutaneous coronary intervention using a novel 4-French coronary accessor. Catheter Cardiovasc Interv. 2008;72:222–7.
Takeshita S, Tanaka S, Saito S. Coronary intervention with 4-French catheters. Catheter Cardiovasc Interv. 2010;75:735–9.
Hachinohe D, Saito S, Tani T, Yamazaki S. Mother-and-child technique using 4-Fr inner catheter for stent delivery during provisional stenting. Cardiovasc Interv Ther. 2012;27(2):105–9 (Epub 2011 Dec 13).
Burzotta F, Trani C, Mazzari MA, Mongiardo R, Rebuzzi AG, Buffon A, Niccoli G, Biondi-Zoccai G, Romagnoli E, Ramazzotti V, Schiavoni G, Crea F. Use of a second buddy wire during percutaneous coronary interventions: a simple solution for some challenging situations. J Invasive Cardiol. 2005;17:171–4.
Takeshita S, Shishido K, Sugitatsu K, Okamura N, Mizuno S, Yaginuma K, Suenaga H, Tanaka Y, Matsumi J, Takahashi S, Saito S. In vitro and human studies of a 4F double-coaxial technique (“mother–child” configuration) to facilitate stent implantation in resistant coronary vessels. Circ Cardiovasc Interv. 2011;4:155–61.
Honda T, Fujimoto K, Miyao Y, Koga H, Hirata Y. Access site-related complications after transradial catheterization can be reduced with smaller sheath size and statins. Cardiovasc Interv Ther. 2012 (Epub ahead of print).
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Higashimori, A., Yokoi, Y. A case of intervention for gastroepiploic artery bypass graft anastomosis stenosis with using a 4 Fr guiding catheter. Cardiovasc Interv and Ther 28, 115–118 (2013). https://doi.org/10.1007/s12928-012-0125-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-012-0125-0