Novel technique for coil embolization of intercostal branch of internal mammary artery graft

Coronary artery steal resulting from a large unligated intercostal or pericardial side branch of the internal mammary artery graft causing postoperative angina has been previously described. Transcatheter coil occlusion of internal mammary artery side branch has successfully been performed to treat...

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Bibliographic Details
Published inCatheterization and cardiovascular diagnosis Vol. 42; no. 2; p. 229
Main Authors Patel, V, Bailey, S R, O'Leary, E, Hoyer, M H
Format Journal Article
LanguageEnglish
Published United States 01.10.1997
Subjects
Angina Pectoris - diagnostic imaging
Angina Pectoris - therapy
Cineangiography
Coronary Disease - diagnostic imaging
Coronary Disease - surgery
Embolization, Therapeutic - instrumentation
Humans
Intercostal Muscles - blood supply
Internal Mammary-Coronary Artery Anastomosis
Male
Mammary Arteries - diagnostic imaging
Middle Aged
Postoperative Complications - diagnostic imaging
Postoperative Complications - therapy
Recurrence
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Summary:Coronary artery steal resulting from a large unligated intercostal or pericardial side branch of the internal mammary artery graft causing postoperative angina has been previously described. Transcatheter coil occlusion of internal mammary artery side branch has successfully been performed to treat coronary steal syndrome. Unsuccessful deployment of the microcoils can be due to inadequate guiding support in the LIMA or prolapse of the delivery catheter in the side branch. We report a new approach for the precise deployment of coils in the side branch of a LIMA graft, when inadequate guiding support is present.
ISSN:0098-6569
1097-0304
DOI:10.1002/(SICI)1097-0304(199710)42:2<229::AID-CCD32>3.0.CO;2-G