1/10. Inadvertent stent extraction six months after implantation by an entrapped cutting balloon.We report a case of extraction of a restenosed aorto-ostial stent by an entrapped cutting balloon that had inadvertently been passed through a protruding stent cell. Cathet Cardiovasc Intervent 2001;53:415-419.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/10. Use of a laser sheath to obtain venous access in pacemaker lead-related obstruction without extraction of the lead.AIMS: Occlusion of the subclavian vein resulting from pacemaker leads prohibits insertion of new leads. We describe the ipsilateral insertion of a new lead without extracting the old lead using a laser sheath in a pacemaker patient with an obstructed vein. methods AND RESULT: A laser sheath together with an outer sheath were advanced over the malfunctioning lead just beyond the occlusion. The laser sheath was pulled back and a guide wire inserted through the outer sheath kept in position distal of the occlusion. After removal of the outer sheath a peel-away sheath was introduced and a new lead implanted next to the malfunctioning lead that was abandoned and not extracted. CONCLUSION: By avoiding using the laser along the whole length of the lead we greatly reduced the risk of the procedure but were still able to recanalize the obstructed vein. A risk of bilateral occlusion is avoided and the contralateral site saved as an entry point for future needs.- - - - - - - - - - ranking = 0.8keywords = extraction (Clic here for more details about this article) |
3/10. Transluminal extraction catheter atherectomy in long saphenous vein grafts.Lesions in distal coronary vasculature present unique problems for catheter-based interventions. We report two cases of attempted transluminal extraction catheter (TEC) atherectomy for very distal lesions in long circular saphenous vein grafts. One case succeeded with a simple modification of the TEC device; another failed because of excessive tortuosity in the proximal graft. This experience helps define the potential and limitations of TEC.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/10. Angioscopic guided interventions in a saphenous vein bypass graft.Intracoronary stents appear promising for treatment of focal vein graft lesions, but their use may be limited by the presence of intraluminal thrombus. This report describes the use of percutaneous coronary angioscopy to identify the presence or absence of intraluminal thrombus and to guide interventional therapy with transluminal extraction coronary atherectomy (TEC) and stenting in a patient with a complex vein graft stenosis.- - - - - - - - - - ranking = 0.2keywords = extraction (Clic here for more details about this article) |
5/10. Rescue transcatheter embolectomy following complicated transluminal extraction atherectomy of a coronary vein graft.Transluminal extraction catheter atherectomy of a saphenous vein graft to the right coronary artery was performed in a 72-year-old female and was complicated by distal embolization. A successful transcatheter aspiration of the embolic plaque was achieved. The usefulness of this technique as a coronary intervention is discussed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/10. Extraction atherectomy for the recanalization of totally occluded aortocoronary saphenous vein grafts.This report describes the successful treatment of totally occluded aortocoronary saphenous vein grafts with percutaneous transluminal extraction atherectomy (TEC) in three patients with severe angina and high reoperative surgical risk. The method presented here may provide an alternative to overnight urokinase infusion or repeat surgery in high risk patients.- - - - - - - - - - ranking = 0.2keywords = extraction (Clic here for more details about this article) |
7/10. Percutaneous bailout therapy of a perforated vein graft using a stent-autologous vein patch.A 74-yr-old man with two prior coronary bypass surgeries experienced perforation of an occluded aortocoronary vein graft during a transluminal extraction catheter (TEC) procedure for unstable angina. The perforation was successfully closed using a Palmaz 154 stent covered with a short segment of autologous antecubital vein.- - - - - - - - - - ranking = 0.2keywords = extraction (Clic here for more details about this article) |
8/10. Intravascular ultrasound-guided transluminal extraction atherectomy for restenosis after Gianturco-Roubin coronary stent implantation.Two patients with restenosis following implantation of the Gianturco-Roubin stent were successfully treated with the transluminal extraction atherectomy device, with the assistance of intravascular ultrasound guidance and adjunctive balloon angioplasty. The optimal management strategy of in-stent restenosis remains unclear, but the transluminal extraction atherectomy device may be an option for the management of restenosis within the Gianturco-Roubin stent.- - - - - - - - - - ranking = 1.2keywords = extraction (Clic here for more details about this article) |
9/10. Detachment of transluminal extraction catheter cutter head from shaft and successful retrieval.Transluminal extraction catheter atherectomy has been shown to be a clinically effective interventional technique for the treatment of thrombotic degenerative saphenous vein bypass grafts. We will report the first case of detachment of transluminal extraction catheter cutter head from the shaft and its successful retrieval during a saphenous vein bypass graft intervention.- - - - - - - - - - ranking = 1.2keywords = extraction (Clic here for more details about this article) |
10/10. Utilisation of transluminal extraction atherectomy in the treatment of saphenous vein graft disease: two case reports.saphenous vein graft disease is an increasing problem as more patients undergo bypass grafting and to date the most effective management strategy remains undefined. The major limitations of angioplasty for saphenous vein graft lesions are the risk of distal embolization and restenosis. Primary stenting in this situation results in superior lumen enlargement and higher procedural success but is still associated with significant restenosis. We describe two cases in which transluminal extraction (TEC) atherectomy is utilised for the treatment of vein graft disease with good immediate and long term angiographic results. The first case reports the use of TEC atherectomy for the primary treatment of a discrete eccentric filling defect, and the second case describes the use of this technique in the management of in-stent restenosis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
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