Document Detail

Current percutaneous treatment strategies for saphenous vein graft disease.
MedLine Citation:
PMID:  22777812     Owner:  NLM     Status:  Publisher    
Coronary artery bypass graft (CABG) surgery remains one of the most widely performed surgical procedures in North America and aortocoronary saphenous vein grafts (SVG) are the most frequently used surgical conduits. Saphenous vein graft disease (SVGD) remains the leading cause of symptomatic coronary artery disease post-CABG. When optimal medical therapy is ineffective, repeat surgery is associated with higher mortality combined with less favorable clinical and angiographic results, thus percutaneous revascularization on SVG is currently the standard of care for the revascularization of saphenous vein graft disease Balloon angioplasty, Bare Metal Stents (BMS), PTFE-covered stents and Drug-Eluting Stents (DES) have been extensively investigated for SVG interventions. Multiple recent randomized trials and meta-analyses have confirmed the pathophysiologic and clinical differences between SVGD and coronary artery disease (CAD). Decisions such as patient selection, premedication, stent and protection device characteristics should be carefully considered to achieve optimal procedural and clinical results. Acute coronary syndromes due to SVG involvement, chronic total occlusions, retrograde approaches and SVG perforation management are newer fields requesting additional research. © 2012 Wiley Periodicals, Inc.
Kostantinos Marmagkiolis; Cindy Grines; Luc Bilodeau
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-6
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
William Beaumont Hospital, Royal Oak, MI; Montreal Heart Institute, Montreal, QC.
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