| Multiple extensive coronary artery stenting: does it compromise future surgical revascularization? | |
| | |
MedLine Citation:
|
PMID: 17921740 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: In the era of percutaneous coronary intervention, surgeons are confronted with performing coronary artery bypass graft surgery on patients with previous balloon dilatation or stenting. This review evaluates the impact of previous percutaneous coronary intervention on patient survival and choice of optimal myocardial revascularization technique. RECENT FINDINGS: Aggressive atherosclerosis has been remarked in patients complicated with intrastent stenosis. Moreover, bypass grafting with venous grafts has shown an extremely high incidence of graft failure in the restenosis population due to limited nitric oxide (a natural vasodilator) production of venous grafts. The challenge is to achieve complete revascularization in an unfavourable setting (greater co-morbidities, complex coronary lesions) with a greater risk of graft occlusion. SUMMARY: The internal thoracic artery is the optimal graft for myocardial revascularization in patients with and without previous in-stent restenosis. Coronary artery reconstruction by exclusive internal thoracic artery grafting gives superior patency rates and clinical outcomes. It is the most appropriate approach for myocardial revascularization in these patients. |
| | |
Authors:
|
Nawwar Al-Attar; Patrick Nataf |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current opinion in cardiology Volume: 22 ISSN: 0268-4705 ISO Abbreviation: Curr. Opin. Cardiol. Publication Date: 2007 Nov |
Date Detail:
|
Created Date: 2007-10-08 Completed Date: 2008-01-31 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8608087 Medline TA: Curr Opin Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 529-33 Citation Subset: IM |
Affiliation:
|
Department of Cardiac Surgery, Bichat Hospital, Paris, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Coronary Artery Disease
/
mortality,
surgery*,
therapy* Coronary Restenosis / mortality, surgery* Coronary Vessels / surgery Humans Myocardial Revascularization* / mortality Stents* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical trials versus registries in coronary revascularization: which are more relevant?
Next Document: Radial artery conduit for coronary revascularization: as good as an internal thoracic artery?