Percutaneous coronary intervention strategy of coronary bypass graft failure

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

研究成果: 書貢獻/報告類型章節

摘要

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.

原文英語
主出版物標題Coronary Graft Failure
主出版物子標題State of the Art
發行者Springer International Publishing
頁面683-688
頁數6
ISBN(電子)9783319265155
ISBN(列印)9783319265131
DOIs
出版狀態已發佈 - 一月 1 2016
對外發佈Yes

ASJC Scopus subject areas

  • Medicine(all)

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