Degenerated Saphenous Vein Graft Intervention. Should We Target the Native Vessel instead?

Corey Foster, Alan Zajarias

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Coronary interventions of degenerated saphenous vein grafts (SVGs) continue to present a management challenge. Although repeat coronary artery bypass grafting (CABG) remains a significant risk factor for operative mortality, percutaneous coronary intervention (PCI) is still associated with a high risk for periprocedural events. There is a lack of consensus on the optimal treatment strategy for patients with severe stenosis of SVGs. It is imperative to review the characteristics of native versus SVG disease, risk factors for complications after SVG intervention, procedural treatment strategies important to the decision on which therapeutic strategy to follow, and measures to mitigate the risks of periprocedural complications.

Original languageEnglish
Pages (from-to)323-337
Number of pages15
JournalInterventional Cardiology Clinics
Volume2
Issue number2
DOIs
StatePublished - Apr 2013

Keywords

  • Complex percutaneous coronary intervention
  • Embolic protection device
  • Saphenous vein graft

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