Complex Case: Saphenous Vein Graft

A 61-year-old man with a history of five-vessel coronary artery bypass grafting was found to have symptomatic, severe, and critically obstructive calcific lesions of the vein graft to the RCA. The vein graft underwent rotational atherectomy followed by stenting, demonstrating rotational atherectomy of saphenous vein grafts is possible in appropriately selected patients.