How I Deal With... SVGs. Simon Redwood St Thomas’. No Conflict of Interest to Declare. Mr PM, 55 years old CABG 1993 SVG – LAD SVG – OM2 8F LCB. How should we tackle this?. Laser Catheter. 0.9, 1.4. 1.7. 2.0 mm diameter. Particle Size post 308 nm ablation. 5% : > 5 - <12 micron.
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0.9, 1.4. 1.7. 2.0 mm diameter
5% : > 5 - <12 micron
50% : < 1 micron
45% : 1 – 5 micron
Erytrocyte = 7µ
In order to obtain an optimal contact between catheter tip and lesion it is mandatory to implement the saline infusion protocol.
15-20 ml saline bolus after each contrast injection
15-20 ml saline flush during every laseractivation (5 sec)
Images taken from the DVD: Critical Limb Ischemia, New Techniques For Complex Interventions, Prof. Dr. Giancarlo Biamino - Dr. Dierk Scheinert (Herzzentrum Leipzig) Michael Jaff, MD (Lennox Hill, NY)
Peak CK 205
Debulk with laser
Stent – usually BMS, occ. covered