Successful rotational atherectomy of mid-saphenous vein graft lesions

Rotational atherectomy has long been regarded as contraindicated for stenot ic lesions within the body of saphenous vein grafts. So far, reports of rot ational atherectomy in vein grafts have been concerned with ostial and dist al anastomotic lesions. We report the first two cases of the successful use of the Rotablator for discrete lesions of mid-saphenous vein grafts. No co mplications were encountered. One patient is doing well 6 months after the procedure, and the other patient continues to do well more than 1 year late r.