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Aspiration thrombectomy for patients with acute coronary syndromes and culprit lesions located in coronary bypass grafts. Data from the PL-ACS registry

Paweł Tyczyński1, Mariusz Gąsior2, Kamil Bujak2, Adam Witkowski1, Łukasz Pyka2, Marek Gierlotka3, Krzysztof Milewski4, Jarosław Hiczkiewicz5, Grzegorz Sobieszek6, Marek Styczkiewicz7, Zbigniew Chmielak1
DOI: 10.33963/KP.a2022.0169
  1. Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warszawa, Poland
  2. 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
  3. Department of Cardiology, University Hospital, Institute of Medical Sciences, University of Opole, Opole, Poland
  4. 2nd Department of Cardiology, American Heart of Poland, Bielsko-Biała, Poland
  5. Clinical Department of Cardiology, Nowa Sol Multidisciplinary Hospital, Nowa Sol, Poland
  6. Department of Cardiology, 1st Military Clinical Hospital with the Outpatient Clinic, Lublin, Poland
  7. Department of Cardiology, The Pope John Paul II Province Hospital of Zamość, Zamość, Poland

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Aspiration thrombectomy for patients with acute coronary syndromes and culprit lesions located in coronary bypass grafts. Data from the PL-ACS registry


Kardiologia Polska (Polish Heart Journal)


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Paweł Tyczyński
Mariusz Gąsior
Kamil Bujak
Adam Witkowski
Łukasz Pyka
Marek Gierlotka
Krzysztof Milewski
Jarosław Hiczkiewicz
Grzegorz Sobieszek
Marek Styczkiewicz
Zbigniew Chmielak

References (9)
  1. Yeo KK, Azarbal F, Zakroysky P, et al. Differential longitudinal outcomes following percutaneous coronary intervention to the left internal mammary artery and other bypass grafts of the LAD: findings from the NCDR. J Invasive Cardiol. 2020; 32: E143–E150.
  2. Brodie BR, VerSteeg DS, Brodie MM, et al. Poor long-term patient and graft survival after primary percutaneous coronary intervention for acute myocardial infarction due to saphenous vein graft occlusion. Catheter Cardiovasc Interv. 2005; 65(4): 504–509.
  3. Collet JP, Thiele H, Barbato E, et al. ESC Scientific Document Group. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021; 42(14): 1289–1367.
  4. Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022; 145(3): e18–e114.
  5. Poloński L, Gasior M, Gierlotka M, et al. Polish Registry of Acute Coronary Syndromes (PL‑ACS). Characteristics, treatments and outcomes of patients with acute coronary syndromes in Poland. Kardiol Pol. 2007; 65: 861–864.
  6. Jim MH, Yiu KH, Ko RLY, et al. Manual aspiration prior to stenting does not reduce the incidence of filter no reflow in saphenous vein graft lesions protected by FilterWire EX/EZ. Acute Card Care. 2010; 12(3): 92–95.
  7. Stone GW, Cox DA, Babb J, et al. Prospective, randomized evaluation of thrombectomy prior to percutaneous intervention in diseased saphenous vein grafts and thrombus-containing coronary arteries. J Am Coll Cardiol. 2003; 42(11): 2007–2013.
  8. Akcay M. Successful treatment of a huge thrombotic saphenous vein graft occlusion with aspiration thrombectomy: a case report. J Tehran Heart Cent. 2020; 15(2): 69–72.
  9. Januszek RA, Dziewierz A, Siudak Z, et al. Predictors of periprocedural complications in patients undergoing percutaneous coronary interventions within coronary artery bypass grafts. Cardiol J. 2019; 26(6): 633–644.


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