Repeat revascularization: Percutaneous coronary intervention after coronary artery bypass graft surgery

被引:20
作者
Scarsini, Roberto [1 ]
Zivelonghi, Carlo [1 ]
Pesarini, Gabriele [1 ]
Vassanelli, Corrado [1 ]
Ribichini, Flavio L. [1 ]
机构
[1] Univ Verona, Dept Med, Cardiol Sect, Piazzale A Stefani 1, I-37100 Verona, Italy
关键词
Percutaneous coronary intervention; Repeat myocardial revascularization; Coronary artery bypass graft; Saphenous vein graft;
D O I
10.1016/j.carrev.2016.04.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Repeat myocardial revascularization procedures are markedly different from de novo interventions, with increased procedural risk and technical-demanding complexity. However the number of patients previously treated with coronary artery bypass graft (CABG) that need a repeat revascularization due to graft failure is increasing consistently. Late graft failure, usually caused by saphenous vein grafts (SVG) attrition, is certainly not uncommon. However PCI on degenerated SVG presents higher complication rate and worse clinical outcome compared with native arteries interventions. In acute graft failure setting, PCI represents a valuable option to treat postoperative myocardial infarction. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:272 / 278
页数:7
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