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Review
. 2016 Jun;17(4):272-8.
doi: 10.1016/j.carrev.2016.04.007. Epub 2016 Apr 28.

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

Roberto Scarsini  1 , Carlo Zivelonghi  2 , Gabriele Pesarini  2 , Corrado Vassanelli  2 , Flavio L Ribichini  2
Affiliations
Review

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

Roberto Scarsini et al. Cardiovasc Revasc Med. 2016 Jun.

Abstract

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.

Keywords: Coronary artery bypass graft; Percutaneous coronary intervention; Repeat myocardial revascularization; Saphenous vein graft.

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