José C. Missri, M.D.
Joseph B. Sappington, M.D.

The use of a new thrombectomy aspiration device: Angiojet� is demonstrated in a patient with unstable angina due to an occluded saphenous vein bypass graft to the obtuse marginal branch of the circumflex coronary artery. The left figure shows the occluded vein graft with a steerable guide wire advanced to its distal segment. Following multiple passes using the Angiojet�, flow is reestablished in the vein graft (center), with residual stenosis. The right figure demonstrates the angiographic results following balloon angioplasty and stent deployment.