<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352025000200120</article-id>
<article-id pub-id-type="doi">10.35366/120547</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Case of coil dislodgement in saphenous vein graft coil occlusion in retrograde chronic total occlusion percutaneous coronary intervention]]></article-title>
<article-title xml:lang="es"><![CDATA[Migración de coil de un puente de vena safena durante la intervención percutánea de una oclusión crónica vía retrógrada]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hashemi]]></surname>
<given-names><![CDATA[Arash]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Karagöz]]></surname>
<given-names><![CDATA[Ahmet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uçar]]></surname>
<given-names><![CDATA[Melisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zoghi]]></surname>
<given-names><![CDATA[Mehdi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ghaffari]]></surname>
<given-names><![CDATA[Lida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Erfan General Hospital Department of Cardiology ]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Samsun University Faculty of Medicine Department of Cardiology]]></institution>
<addr-line><![CDATA[Samsun ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Samsun University Faculty of Medicine Department of Cardiology]]></institution>
<addr-line><![CDATA[Samsun ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Ege University Faculty of Medicine Department of Cardiology]]></institution>
<addr-line><![CDATA[Izmir ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Erfan General Hospital Department of Radiology ]]></institution>
<addr-line><![CDATA[Tehran ]]></addr-line>
<country>Iran</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>120</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352025000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352025000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352025000200120&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: We report the case of a 78-year-old male with a history of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) to the saphenous vein graft (SVG) to the obtuse marginal artery (OM). The patient presented with acute coronary syndrome and was referred for tertiary care after coronary angiography revealed in-stent restenosis in a thrombotic SVG, along with chronic total occlusion (CTO) of the left circumflex (LCx) artery. Our initial plan was intervention of SVG to OM due to stent restenosis and thrombosis. During the procedure, a balloon rupture resulted in dissection and hematoma. As a bailout intervention, native LCx with CTO ostial stenting was performed, followed by coil occlusion of the SVG. Complications arose when the coil dislodged and fragmented, leading to embolization of one particle in the descending aorta and the other in the femoral artery. Both fragments were successfully retrieved via snare. This case highlights the complexity of managing SVG-related PCI complications and the importance of careful device handling during coiling procedures.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Reportamos el caso de un hombre de 78 años con antecedentes de cirugía de revascularización coronaria (CRC) e intervención coronaria percutánea (ICP) del injerto de vena safena (IVS) a la arteria marginal obtusa (MO). El paciente presentó síndrome coronario agudo y fue derivado a atención terciaria después de que la angiografía coronaria revelara reestenosis intrastent en una IVS trombótica, junto con oclusión total crónica (OTC) de la arteria circunfleja izquierda (CI). Nuestro plan inicial fue la intervención de IVS a MO debido a reestenosis del stent y trombosis. Durante el procedimiento, una rotura de balón resultó en disección y hematoma. Como intervención de rescate, se realizó stent nativo en la CI con OTC, seguido de oclusión con coil de la IVS. Surgieron complicaciones cuando el coil se desprendió y fragmentó, lo que llevó a la embolización de una partícula en la aorta descendente y la otra en la arteria femoral. Ambos fragmentos se recuperaron con éxito mediante un lazo. Este caso destaca la complejidad del manejo de las complicaciones de la ICP relacionadas con la IVS y la importancia de manipular cuidadosamente el dispositivo durante los procedimientos de colocación de la bobina.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[coil]]></kwd>
<kwd lng="en"><![CDATA[saphenous vein graft]]></kwd>
<kwd lng="en"><![CDATA[chronic total occlusion]]></kwd>
<kwd lng="es"><![CDATA[coil]]></kwd>
<kwd lng="es"><![CDATA[injerto de vena safena]]></kwd>
<kwd lng="es"><![CDATA[oclusión total crónica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xenogiannis]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Gkargkoulas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Karmpaliotis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Krestyaninov]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Khelimskii]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Jaffer]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Retrograde chronic total occlusion percutaneous coronary intervention via saphenous vein graft]]></article-title>
<source><![CDATA[JACC Cardiovasc Interv]]></source>
<year>2020</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>517-26</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dautov]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Manh Nguyen]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Altisent]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Gibrat]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rinfret]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recanalization of chronic total occlusions in patients with previous coronary bypass surgery and consideration of retrograde access via saphenous vein grafts]]></article-title>
<source><![CDATA[Circ Cardiovasc Interv]]></source>
<year>2016</year>
<volume>9</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rinfret]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Dautov]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[When SVGs &#8220;had enough&#8221;: using them as retrograde conduits to resurrect native coronary srteries]]></article-title>
<source><![CDATA[JACC Cardiovasc Interv]]></source>
<year>2020</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>527-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kostantinis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Simsek]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Karacsonyi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alaswad]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Megaly]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jaffer]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Saphenous vein graft occlusion following native vessel chronic total occlusion percutaneous coronary intervention]]></article-title>
<source><![CDATA[J Invasive Cardiol]]></source>
<year>2022</year>
<volume>34</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>E836-40</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Simpfendorfer]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Dimas]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Zaidi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hollman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Knezinek]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Balloon rupture during coronary angioplasty]]></article-title>
<source><![CDATA[Angiology]]></source>
<year>1986</year>
<volume>37</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>828-31</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hanratty]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Spence]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Owens]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Rigger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Spratt]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Saphenous vein graft sacrifice following native vessel PCI is safe and associated with favourable longer-term outcomes]]></article-title>
<source><![CDATA[Cardiovasc Revasc Med]]></source>
<year>2019</year>
<volume>20</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1048-52</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
