January 4, 2019
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.