Update on Cardiac Catheterization in Patients With Prior Coronary Artery Bypass Graft Surgery

Xenogiannis, Iosif; Tajti, Péter; Hall, Allison B.; Alaswad, Khaldoon; Rinfret, Stéphane; Nicholson, William J.; Karmpaliotis, Dimitri; Mashayekhi, Kambis; Furkalo, Sergey; Cavalcante, João L.; Burke, M. Nicholas; Brilakis, Emmanouil S.

doi:10.1016/j.jcin.2019.04.051

Cited by 35 publications

(29 citation statements)

References 102 publications

(59 reference statements)

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“…Our study is the largest to date to analyse the management practices of patients with prior CABG who subsequently presented with ACS in Bangladesh. Despite an ongoing debate over the best vascular access site for post-CABG intervention, 1 we found that the left radial approach is reasonable, particularly with experienced operators. As previously noted, [1][2][3] saphenous venous grafts are notorious to occlusion, with high rates of restenosis.…”

Section: Resultsmentioning

confidence: 76%

“…Despite an ongoing debate over the best vascular access site for post-CABG intervention, 1 we found that the left radial approach is reasonable, particularly with experienced operators. As previously noted, [1][2][3] saphenous venous grafts are notorious to occlusion, with high rates of restenosis. Data and guidelines recommend native artery revascularisation over graft vessel intervention, a practice that was appropriately observed in this study.…”

Section: Resultsmentioning

confidence: 76%

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Acute coronary syndrome in patients with prior coronary artery bypass graft: clinical, angiographic profiles and management practices

2020

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Section: Resultsmentioning

confidence: 76%

Section: Resultsmentioning

confidence: 76%

Acute coronary syndrome in patients with prior coronary artery bypass graft: clinical, angiographic profiles and management practices

2020

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“…In our patient, PCI of the SVG would carry high risk for acute vessel occlusion which prompted recanalization of the native RCA CTO. However, CTOs in prior CABG patients can be challenging to treat as they often have blunt stump, severe tortuosity, and severe calcification, likely because the distal cap is exposed to systemic arterial pressure . As a result, CTO PCI is best performed as a planned procedure and not ad hoc, as was done in our case.…”

Section: Discussionmentioning

confidence: 82%

“…Patients with prior coronary artery bypass surgery (CABG) can present with acute coronary syndromes due to graft failure or progression of coronary artery disease in the native coronary arteries …”

Section: Introductionmentioning

confidence: 99%

Chronic total occlusion recanalization for myocardial infarction

Xenogiannis

Nikolakopoulos

Vemmou

et al. 2019

Cathet Cardio Intervent

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An 84‐year‐old patient with prior coronary artery bypass surgery presented with non‐ST segment elevation acute myocardial infarction. The culprit lesion was at the distal anastomosis of a saphenous vein graft (SVG) to the right posterior descending artery. The proximal right coronary artery was chronically occluded. Because of significant disease both proximal and distal to the SVG anastomosis, percutaneous intervention of the SVG carried high risk for acute vessel closure. The native right coronary artery chronic total occlusion was successfully recanalized, enabling complete revascularization of the right coronary artery. The SVG was then occluded using an Amplatzer vascular plug.

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“…Patients who undergo coronary artery bypass graft surgery (CABG) often require subsequent cardiac catheterization and coronary revascularization due to bypass graft failure, progression of native coronary artery disease, or other rarer indications, such as development of saphenous vein graft (SVG) aneurysms 1 . Redo CABG carries high risk and is rarely performed.…”

Section: Figurementioning

confidence: 99%

Chronic total occlusion percutaneous coronary intervention in prior coronary artery bypass graft surgery patients: Caveat Emptor!

Şimşek

Brilakis

2022

Cathet Cardio Intervent

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Key Points Stable angina patients with prior coronary artery bypass graft surgery (CABG) who underwent chronic total occlusion percutaneous coronary intervention (CTO PCI) in England and Wales between 2007 and 2014 had more complex clinical and angiographic characteristics, lower success, similar incidence of periprocedural complications, and higher mortality at follow‐up compared with patients who had not had prior CABG. After adjustment, CTO PCI in prior CABG patients was associated with 66% lower success rates, but similar risk of periprocedural complications and mortality at follow‐up. CTO PCI in prior CABG patients can be very challenging, is subject to unique complications and risks, and should be undertaken with caution by experienced operators.

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Update on Cardiac Catheterization in Patients With Prior Coronary Artery Bypass Graft Surgery

Cited by 35 publications

References 102 publications

Acute coronary syndrome in patients with prior coronary artery bypass graft: clinical, angiographic profiles and management practices

Acute coronary syndrome in patients with prior coronary artery bypass graft: clinical, angiographic profiles and management practices

Chronic total occlusion recanalization for myocardial infarction

Chronic total occlusion percutaneous coronary intervention in prior coronary artery bypass graft surgery patients: Caveat Emptor!

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