Predictors of progression of native coronary narrowing to total occlusion after coronary artery bypass grafting

2003 ◽  
Vol 91 (8) ◽  
pp. 971-974 ◽  
Author(s):  
Kyle K. Pond ◽  
Gary V. Martin ◽  
Nathan Every ◽  
Kenneth G. Lehmann ◽  
Richard Anderson ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Total Occlusion ◽  
Artery Bypass Grafting

The dynamic effect of coronary artery bypass grafting on the instantaneous wave-free ratio in the collateral donor artery of a patient with chronic total occlusion

2020 ◽  
Author(s):  
Florian Rey ◽  
Sophie Degrauwe ◽  
Stéphane Noble ◽  
Juan F Iglesias
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Chronic Total Occlusion ◽  
Artery Bypass ◽  
Dynamic Effect ◽  
Bypass Grafting ◽  
Total Occlusion ◽  
Artery Bypass Grafting ◽  
Donor Artery

Abstract Physiological assessment is challenging in patients with multivessel disease (MVD) with a chronic total occlusion (CTO) and may result in inappropriate treatment decisions. We report herein, for the first time to our knowledge, on the dynamic changes of the instantaneous wave-free ratio in the CTO collateral donor artery before and after coronary artery bypass grafting (CABG). Our case highlights the paramount importance of collateral circulation when interpreting invasive indices of coronary stenosis severity to guide decision-making for CABG in MVD patients with a CTO. This may be particularly relevant to reduce the risk of early graft failure in patients with MVD undergoing CABG.

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