• 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990• Hypertension, Hypercholesterolemia, hypothyroid• Preop workup for cholecystectomy showed positive

Nuclear test with reversible ischemia in postlat wall.• Cath shows 70% lesion in SVG to OM1 and 100% in

SVG to OM2. • Post op had one episode of chest pain – repeat nuclear

Study same as before – for cath.

Eugene Wu, Brigham and Women’s Hospital

Little old lady with little old vein grafts: History

SCAI C3 Summit Chicago May 12-13, 2006

• Don’t panic, keep calm.• Inflate balloon to stop further bleeding. • Wait out/ reverse anticoagulation.• Prolong balloon inflations. • Covered stents.• Beware of little old ladies with little old vein grafts –

they might explode.

Eugene Wu, Brigham and Women’s Hospital

Little old lady with little old vein grafts : Take Home Points

SCAI C3 Summit Chicago May 12-13, 2006