T. Glenie

Beware of the embolus

To the Editor We read with great interest the article titled ‘Contemporary clot busting in ST-elevation myocardial infarction: beware of the embolus’.1 Since the publication of the TAPAS trial2 in 2008 thrombus aspiration has become a useful part of the paradigm for treatment of ST elevation myocardial infarction. As demonstrated in the report by Rawlins et al great care needs to be taken during the use of any aspiration catheter. By its very nature this …

Repeat Percutaneous Treatment of a Large Vein Graft Aneurysm with Covered Stents

We present a case of repeat percutaneous intervention on a coronary artery bypass vein graft using polytetrafluoroethylene (PTFE) covered stents. The original intervention was performed using a combination of PTFE covered stents and bare metal stents for a large vein graft aneurysm. Successful exclusion of the aneurysm was demonstrated on follow up angiography. The patient represented six years after the original intervention with a non ST-segment elevation myocardial infarction. Further angiography demonstrated a recurrence of the aneurysm which we presumed to be due to late malapposition and required repeat PTFE covered stent deployment.