Percutaneous Revascularization of Grafts Versus Native Coronary Arteries in Postcoronary Artery Bypass Graft Patients

Garcı́a-Tejada, Julio; Velázquez, Maite; Hernández, Felipe; Albarrán, Agustín; Rodríguez, Sergio; Gómez, I. Benítez; Andreu, Javier; Tascón, Juan

doi:10.1177/0003319708317335

Cited by 10 publications

(10 citation statements)

References 24 publications

(23 reference statements)

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“…There is no clear cut evidence based consensus to guide operators as to the optimal revascularization strategy in these patients with no randomized control trial performed as yet. Two single centre studies [21,22] comparing native vessel versus graft PCI have reported composite MACE and repeat percutaneous revascularization to be similar in both groups. Compared to our study, DES use in the graft PCI [21] cohort was less frequent (57% vs. 88%) whereas embolic protection devices was more frequently used in our patient group.…”

Section: Discussionmentioning

confidence: 99%

Outcomes following PCI in patients with previous CABG

Bundhoo

Kalla

Anantharaman

et al. 2011

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Outcomes following PCI in patients with previous CABG

Bundhoo

Kalla

Anantharaman

et al. 2011

Cathet Cardio Intervent

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“…EQ-5D -EuroQOL five dimensions questionnaire; LVEF -left ventricular ejection fraction; 6MWT -6-minute walk test; NT-proBNP -N-terminal B-type natriuretic propeptide; VAS -visual analogue scale; rest abbreviation as in Table 1 SVG vs. PCI NA [13][14][15]. In the study by Varghese et al [13], patients treated with PCI NA were significantly younger, had younger grafts, and significantly more frequently presented with stable angina compared to patients treated with PCI SVG.…”

Section: 22mentioning

confidence: 99%

Outcomes of percutaneous coronary intervention in patients after previous coronary artery bypass surgery

et al. 2016

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A b s t r a c tBackground: Patients after previous coronary artery bypass grafting (CABG) often require repeat percutaneous revascularisation due to poor patency rates of saphenous vein grafts (SVG) and higher risk of re-CABG. Few data are available to evaluate different percutaneous revascularisation strategies in patients after previous CABG. Aim:To evaluate outcomes of percutaneous coronary intervention (PCI) in patients after previous CABG, including the effect of treatment on the quality of life and symptoms, and secondly to assess the relation between angiographic factors and treatment outcomesMethods: This was a prospective observational study which included 78 patients after previous CABG. Following coronary angiography, the patients were assigned to one of three groups: group A (n = 20), PCI of a SVG (PCI SVG); group B (n = 29), PCI of a native coronary artery (PCI NA); group C (n = 29), control group that received medical treatment (MT) only. Duration of follow-up was 12 months.Results: Compared to MT patients, patients treated with PCI had significantly higher Canadian Cardiovascular Society (CCS) class (2.75 vs. 2.41, p = 0.03) and more frequently had coronary angiography performed due to unstable angina (57% vs. 31%, p = 0.04). Patients in the PCI SVG group had significantly older SVG conduits compared to the PCI NA group (13.4 years vs. 8.2 years, p = 0.005). At 12 months of follow-up, we found a significant improvement in the EQ-5D index of the quality of life, and a significant reduction in CCS class in the PCI SVG group (0.66 vs. 0.7, p = 0.0003, and 2.75 vs. 1.9, p < 0.001, respectively) and in the PCI NA group (0.65 vs. 0.72, p < 0.001, and 2.75 vs. 2.17, p < 0.001, respectively), but no improvement in the MT group. Treatment outcomes did not differ significantly between the three groups (combined endpoint rate 20% vs. 13% vs. 27.5%, p = 0.37). In multivariate analysis, SVG age > 11 years was identified as a significant predictor of poor outcomes in patients treated with PCI after previous CABG.Conclusions: PCI in patients after previous CABG does not improve prognosis but significantly improves the quality of life and reduces symptom severity.

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“…Varghese et al . have shown that patients with coronary artery bypass undergoing graft PCI have no difference in terms of mortality as compared to patients with CABG undergoing native vessel PCI ( Varghese, Samuel, Banerjee, & Brilakis, 2009 ),( Garcia-Tejada et al , 2009 ).…”

Section: Deathmentioning

confidence: 99%

Risks and Complications of Coronary Angiography: A Comprehensive Review

Tavakol¹,

Ashraf²,

Brener³

2011

GJHS

225

199

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Coronary angiography and heart catheterization are invaluable tests for the detection and quantification of coronary artery disease, identification of valvular and other structural abnormalities, and measurement of hemodynamic parameters. The risks and complications associated with these procedures relate to the patient’s concomitant conditions and to the skill and judgment of the operator. In this review, we examine in detail the major complications associated with invasive cardiac procedures and provide the reader with a comprehensive bibliography for advanced reading.

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Percutaneous Revascularization of Grafts Versus Native Coronary Arteries in Postcoronary Artery Bypass Graft Patients

Cited by 10 publications

References 24 publications

Outcomes following PCI in patients with previous CABG

Outcomes following PCI in patients with previous CABG

Outcomes of percutaneous coronary intervention in patients after previous coronary artery bypass surgery

Risks and Complications of Coronary Angiography: A Comprehensive Review

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