Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting

Ernst, Sjef M.P.G.; Feltz, Taco A. van der; Ascoop, C. A. P. L.; Bal, Egbert T.; Vermeulen, F.; Knaepen, Paul J.; Bogerijen, Leo van; Berg, Eduard J.M. van den; Plokker, H.W. Thijs

doi:10.1016/s0022-5223(19)36450-5

Cited by 33 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other studies of saphenous vein graft angioplasty have reported angiographic success rates of 75 -97% [ 10, I 1 , [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] (Table V), consistent with the 86% in our study. The highest success rate was seen with stenoses located at the distal anastomotic site (96%), followed by stenoses located in the graft body (90%) and proximal anastomotic site (50%).…”

Section: Acute Resultssupporting

confidence: 90%

Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting: ten years' experience

Tan

Henderson

Sulke

et al. 1994

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

We evaluated the acute and long-term results of percutaneous transluminal coronary angioplasty in 140 patients with prior coronary artery bypass grafting treated over a 10-year period (1981-1991). Angioplasty was technically successful in 85% of 122 nonoccluded native vessels and in 86% of 50 saphenous vein grafts. Two patients (1.4%) had a myocardial infarction and there were three procedure-related deaths (2.1%). The cumulative probability of survival was 91.5% and 74.5% at 1 and 5 years, respectively. Survival free from myocardial infarction and repeat bypass grafting at 1 and 5 years was 77.3% and 53.9%, respectively. At census, 31% of the 117 survivors were asymptomatic, and 47% were improved by at least two angina grades. Coronary angioplasty provides an apparently safe and effective alternative method of revascularization in selected patients with prior coronary artery bypass grafting. This treatment strategy potentially avoids reoperation with its attendant risks.

show abstract

Section: Acute Resultssupporting

confidence: 90%

Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting: ten years' experience

Tan

Henderson

Sulke

et al. 1994

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

show abstract

Placement of “biliary” stents in saphenous vein coronary bypass grafts

White

Ramee

Collins

et al. 1993

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

Angioplasty of coronary saphenous vein grafts has been associated with less favorable results than in native coronary arteries owing to a higher acute complication rate and an increased incidence of restenosis. We placed 16 nonarticulated balloon expandable stainless steel "biliary" stents at the sites of 13 stenotic or occluded aortocoronary saphenous vein graft lesions in 11 patients. All of the lesions were stented successfully. There were no instances of stent thrombosis or stent embolism. The percent diameter stenosis was reduced from 85.5 +/- 14.1% to 3.5 +/- 4.4% (p < .001), and the minimal lumen diameter of the lesion increased from 0.7 +/- 0.7 mm at baseline to 3.7 +/- 0.2 mm (p < .001) after stent placement. We conclude that this noncoronary stent appears to be safe and effective for treating saphenous vein coronary bypass grafts. The high procedural success rate and excellent angiographic results are very encouraging, while the restenosis rates remain to be determined.

show abstract

Developing a rational management strategy for angina pectoris after coronary bypass surgery: A clinical decision analysis

Mills¹,

Kalan²

1991

Clinical Cardiology

View full text Add to dashboard Cite

Summary: Long-term follow-up of patients undergoing coronary artery bypass graft surgery indicates that as many as 5 0 % eventually experience recurrent angina pectoris. Rational management of these individuals requires an understanding of the natural history of coronary bypass graftx, the risks and benefits of both reoperation and angioplasty, as well as a structure within which to integrate these data. This report reviews the literature and employs formal decision analysis to develop a strategy for management of recurrent angina. Our analysis supports the strategy that patients experiencing recurrent angina within 3 years alter surgery should undergo prompt angiographic re-evaluation and angioplasty if anatomically suitable. Symptoms beginning more than 6 years after surgery should I*: managed medically, reserving surgery for refractory syinptonis.

show abstract

Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting

Cited by 33 publications

References 8 publications

Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting: ten years' experience

Percutaneous transluminal coronary angioplasty in patients with prior coronary artery bypass grafting: ten years' experience

Placement of “biliary” stents in saphenous vein coronary bypass grafts

Developing a rational management strategy for angina pectoris after coronary bypass surgery: A clinical decision analysis

Contact Info

Product

Resources

About