For SVG graft stenting, do you consider routinely embolic protection devices (EPD), and do you factor lesion location (prox vs distal) for decision making?  

The upside, if feasible, outweighs the potential downside, of using DEP for SVG lesions. No reflow from downstream embolization can be catastrophic. An adequate landing zone and a wee bit longer in procedure time are the only downsides.

I would prefer to use an embolic protection device, provided it can be easily deployed and the lesion is suitable for it. Avoid, if the lesion is a very distal graft or attachment site. In most cases, I prefer to do direct stenting of the SVG graft to avoid any embolization even with a protection de...

The ‘rare limiting step’ is frequently the landing zone.