Use of rotational atherectomy in the body of a saphenous vein coronary graft.

The use of the Rotablator rotational atherectomy device in the body of saphenous vein coronary grafts is currently contraindicated by the manufacturer (Boston Scientific Corp., Natick, Massachusetts). While rotational atherectomy in soft lesions in friable vein grafts would likely lead to complications, for severely calcified lesions that are non-dilatable, rotational atherectomy can arguably be performed safely. We present a case in which a non-dilatable, calcified saphenous vein coronary graft is successfully treated with rotational atherectomy.