Catheter-based coronary bypass: A development update

Stephen N. Oesterle, Nicolaus Reifart, Motoya Hayase, Eugen Hauptmann, Reginald Low, Raimund Erbel, Michael Haude, Olaf Dirsch, Gerhard C. Schuler, Renu Virmani, Alan C. Yeung

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Catheter-based coronary bypass has evolved since its origin in 1995. We present a status update of one version of catheter-based bypass, percutaneous in situ coronary venous arterialization (PICVA), its successes and failures, and the many questions and challenges that remain. Initial clinical experience with PICVA demonstrated promising mitigation of angina in no-option patients, but was complicated by a relatively low procedural completion rate and a high incidence of MACE. A great deal was learned in these initial cases. The system of devices is currently undergoing significant modification, and further clinical study is underway.

Original languageEnglish (US)
Pages (from-to)212-218
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Issue number2
StatePublished - Feb 1 2003


  • Coronary
  • Percutaneous bypass
  • Retroperfusion
  • Revascularization
  • Venous

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging


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