1. 81/F with SVG to LAD, PDA, OM1 and OM2 in 1990 Hypertension, Hypercholesterolemia, hypothyroid Preop workup for cholecystectomy showed positive Nuclear test with reversible ischemia in postlat wall. Cath shows 70% lesion in SVG to OM1 and 100% in SVG to OM2. Post op had one episode of chest pain – repeat nuclear Study same as before – for cath. Eugene Wu, Brigham and Women’s Hospital Little old lady with little old vein grafts: History SCAI C3 Summit Chicago May 12-13, 2006

17. Don’t panic, keep calm. Inflate balloon to stop further bleeding. Wait out/ reverse anticoagulation. Prolong balloon inflations. Covered stents. Beware of little old ladies with little old vein grafts – they might explode. Eugene Wu, Brigham and Women’s Hospital Little old lady with little old vein grafts : Take Home Points SCAI C3 Summit Chicago May 12-13, 2006