scholarly journals Long-term Outcome Following Saphenous Vein Graft Percutaneous Coronary Intervention

2016 ◽  
Vol 25 ◽  
pp. S181-S182
Author(s):  
Y. Kamaladasa ◽  
R. Cordina ◽  
J. Kilian ◽  
D. Celermajer ◽  
M. Adams
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Coronary Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Percutaneous Coronary

Very long-term outcome of saphenous vein graft percutaneous coronary intervention

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Carlo Zivelonghi ◽  
Giovanni Maria Vescovo ◽  
Pierfrancesco Agostoni ◽  
Adriaan Wilgenhof ◽  
Yannick Willemen ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Coronary Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Percutaneous Coronary

scholarly journals TCT-520 Long-term Outcomes of Saphenous Vein Graft Percutaneous Coronary Intervention

2018 ◽  
Vol 72 (13) ◽  
pp. B209 ◽  
Author(s):  
Novalia Sidik ◽  
Katherine McCreary ◽  
Ahmed Abouzaid ◽  
Colm Hanratty ◽  
Simon Walsh ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Coronary Intervention ◽  
Long Term Outcomes ◽  
Percutaneous Coronary

scholarly journals TCT-640 MGuard TM Stent Reduces Early Adverse Events In Saphenous Vein Graft Percutaneous Coronary Intervention

2014 ◽  
Vol 64 (11) ◽  
pp. B186
Author(s):  
Danillo T. Silva ◽  
Jose d Costa ◽  
Antonio de Castro Filho ◽  
Tannas Jatene ◽  
Evandro Martins Filho ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Adverse Events ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Saphenous Vein Graft Disease Interventions

2021 ◽  
Vol 06 (03) ◽  
pp. 199-208
Author(s):  
Sarita Rao ◽  
K. Roshan Rao ◽  
Achukatla Kumar
Keyword(s):  
Saphenous Vein ◽  
Vein Graft ◽  
Left Internal Mammary Artery ◽  
Saphenous Vein Graft ◽  
Artery Bypass ◽  
Standard Of Care ◽  
Coronary Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Vein Grafts

AbstractIn the current era, coronary artery bypass grafting (CABG) is being increasingly performed using total arterial revascularization or a hybrid procedure of stenting of non-LAD disease and minimal access left internal mammary artery (LIMA) to LAD grafts, in order to minimize the need for vein grafts. Still, we encounter saphenous vein graft (SVG) disease, and it might require PCI, which often presents with unique challenges. The current favored strategy is to attempt PCI of the native coronary, if feasible, especially in long degenerated SVG disease, as it has shown better short- and long-term outcome. PCI is preferred over repeat CABG for early recurrent symptoms after CABG in patent LIMA graft and amenable anatomy patients. Balloon predilatation is not recommended unless delivery of an EPD or stent is not possible. Distal protection should be considered the standard of care for percutaneous coronary intervention (PCI) in most patients with older vein grafts, as periprocedural myocardial infarction and no reflow are the Achilles heel of SVG PCI. Intragraft vasodilators should be used liberally, even before balloon angioplasty/stenting. Avoid postdilatation, and usage of undersized but a longer stent length to reduce plaque extrusion through stent struts is preferred. Consider thrombectomy in lesions with a heavy thrombus burden. Keep activated clotting time on the higher side than in conventional PCI. Prolonged dual antiplatelet therapy (DAPT) based on the DAPT score is recommended. With all the precautions and care, we still need a fair wind in our favor to sail through the vein grafts disease.

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