Immediate and long-term clinical outcome in patients undergoing angioplasty of occluded vein grafts

Berger, Peter B.; Bell, Malcolm R.; Simari, Robert; Reeder, Guy S.; Grill, Diane E.; Holmes, David R.

doi:10.1016/s0735-1097(96)81572-5

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24,30 -36 Efforts to enhance the safety of PCI in occluded grafts by reducing the thrombus burden with the use of local or systemic fibrinolytic therapy have not clearly improved success rates and result in major bleeding in 12% to 19% of patients and intracranial hemorrhage in 2% to 3%. [33][34][35]37 Most studies have also demonstrated poor long-term results after recanalization of occluded SVGs, 24,30 -32 although stents are believed to enhance patency compared with balloon angioplasty in this setting. 37 Many patients with chronic SVG occlusions have excellent collateral vessels supplying the target territories and may thus may have a favorable prognosis with conservative management.…”

Section: Angioplasty Of Occluded Saphenous Vein Bypass Graftsmentioning

confidence: 99%

Percutaneous Recanalization of Chronically Occluded Coronary Arteries

et al. 2005

View full text Add to dashboard Cite

In Part I of this article, the definitions, prevalence, and clinical presentation of chronic total occlusions (CTOs) were reviewed, the histopathology of CTOs was examined, efforts to replicate human CTOs with experimental models were appraised, and the clinical relevance and rationale for CTO revascularization were evaluated. 1 In Part II, we summarize the technical approach to and outcomes after percutaneous coronary intervention (PCI) of occluded coronary arteries, describe the novel devices and drugs approved and undergoing investigation for CTO recanalization, and conclude with practical perspectives on managing the patient with 1 or more chronic coronary occlusions.

show abstract

Section: Angioplasty Of Occluded Saphenous Vein Bypass Graftsmentioning

confidence: 99%

Percutaneous Recanalization of Chronically Occluded Coronary Arteries

et al. 2005

View full text Add to dashboard Cite

show abstract

“…As a result, angiographic noreflow after intervention in occluded grafts frequently occurs, which despite the administration of intracoronary vasodilators results in periprocedural myocardial infarction in approximately 20% of patients, with death reported in 3.4-6.5% [45][46][47][48][49][50][51][52]. Prophylactic intra-aortic balloon pump placement should thus be strongly considered prior to PCI of occluded SVGs, particularly if the systolic blood pressure is < 100 mm Hg, left ventricular ejection fraction is impaired, and/ or wall motion is reduced in regions not subtended by the target vessel.…”

Section: Technique Considerations For Occluded Saphenous Vein Graftsmentioning

confidence: 99%