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CTO-PCI Complicated by Coronary Artery Tenting After Bypass Grafting

Video Supplement to “Coronary Artery Tenting After Bypass Grafting: A Key Issue During Percutaneous Coronary Intervention of a Chronic Total Occlusion" [January 2019 Clinical Images article by Jurado-Román, et al.]

Bypass grafts may tent the vessel to which they are anastomosed, potentially changing the expected course of the native coronary vessel. This fact must be taken into account during CTO-PCI, and this case emphasizes the importance of careful analysis of coronary anatomy with several angiographic projections. The subsequent stenting and excellent final result are demonstrated in the angiographic study below.


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