A case of intervention for gastroepiploic artery bypass graft anastomosis stenosis with using a 4 Fr guiding catheter

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 4Fr straight guiding catheter for treatment of stenosis in a GEA coronary bypass graft.