Abstract
Saphenous vein graft (SVG) lesions remain one of the most challenging problems for interventional cardiologists. Procedures performed in patients with SVG lesions are often more complex and are associated with higher risk than those in patients with native vessel percutaneous coronary intervention (PCI). Long-term benefi ts are also limited in this condition. There are several factors infl uencing the outcomes of SVG PCI including (1) diffi culties in graft localization and engagement, (2) high rates of periprocedural myocardial infarction (MI) caused by distal embolization in SVGs, and (3) high restenosis rates. However, PCI is generally preferred instead of surgical revascularization. Factors favoring PCI include limited areas of ischemia causing symptoms, suitable PCI targets, a patent graft to the left anterior descending artery (LAD), poor coronary artery bypass graft (CABG) targets, and comorbid conditions.
Original language | English |
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Title of host publication | Coronary Graft Failure |
Subtitle of host publication | State of the Art |
Publisher | Springer International Publishing |
Pages | 683-688 |
Number of pages | 6 |
ISBN (Electronic) | 9783319265155 |
ISBN (Print) | 9783319265131 |
DOIs | |
Publication status | Published - Jan 1 2016 |
Externally published | Yes |
Keywords
- Antithrombotic
- Baremetal stent (BMS)
- Covered stent
- Direct stenting
- Distal embolization
- Drug-eluting stent (DES)
- Embolic protection device (EPD)
- Glycoprotein inhibitor
- Percutaneous coronary intervention (PCI)
- Saphenous vein graft (SVG)
- Thrombus
- Vasodilator
- Vein graft disease
ASJC Scopus subject areas
- General Medicine