Percutaneous coronary intervention strategy of coronary bypass graft failure

Cho Kai Wu, Juey Jen Hwang, Jiunn-Lee Lin

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish
Title of host publicationCoronary Graft Failure
Subtitle of host publicationState of the Art
PublisherSpringer International Publishing
Pages683-688
Number of pages6
ISBN (Electronic)9783319265155
ISBN (Print)9783319265131
DOIs
Publication statusPublished - Jan 1 2016
Externally publishedYes

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

  • Medicine(all)

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  • Cite this

    Wu, C. K., Hwang, J. J., & Lin, J-L. (2016). Percutaneous coronary intervention strategy of coronary bypass graft failure. In Coronary Graft Failure: State of the Art (pp. 683-688). Springer International Publishing. https://doi.org/10.1007/978-3-319-26515-5_62