PMID: 8962559Dec 1, 1996Paper

Influence of procedural success on immediate and long-term clinical outcome of patients undergoing percutaneous revascularization of occluded coronary artery bypass vein grafts

Journal of the American College of Cardiology
P B BergerD R Holmes

Abstract

This study sought to determine whether successful recanalization of an occluded vein graft is associated with improvement in long-term clinical outcome. Coronary angioplasty of occluded vein grafts is associated with a lower initial success rate and a higher complication rate than angioplasty of vein grafts with subtotal stenoses and native coronary arteries. Whether successful angioplasty improves clinical outcome is unknown. We analyzed 77 consecutive patients who underwent angioplasty of an occluded saphenous vein coronary artery bypass graft between August 1983 and June 1994. Patients with a myocardial infarction in the previous 24 h were excluded from the study. The mean age of the study cohort was 65 years; the mean (+/- SD) age of the treated grafts was 7.5 +/- 3.9 years. As an adjunct to balloon angioplasty, stents were used in 9% of procedures, laser in 30%, and atherectomy in 16%, and thrombolytic therapy was administered in 23% of patients. The angioplasty success rate was 71%. Major complications within 30 days of the procedure included death in 5.2% of patients, Q wave myocardial infarction in 1.3% and repeat bypass surgery in 7.8%; these events occurred with similar frequency in patients in whom angiographic succe...Continue Reading

References

Sep 1, 1992·Journal of the American College of Cardiology·T HinoharaJ B Simpson
Jul 1, 1992·Circulation·UNKNOWN VA Coronary Artery Bypass Surgery Cooperative Study Group
Oct 1, 1990·Journal of the American College of Cardiology·J G WebbS H Stertzer
Jan 1, 1986·International Journal of Cardiology·L FinciG D Steffenino
Oct 1, 1986·Journal of the American College of Cardiology·D A WeinerF Tristani
Apr 1, 1994·Journal of the American College of Cardiology·J K KahnG O Hartzler
May 1, 1994·Journal of the American College of Cardiology·R N PianaJ P Carrozza
Jun 1, 1993·Journal of the American College of Cardiology·P J de FeyterP W Serruys

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Citations

Apr 30, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mandeep SinghCharanjit S Rihal
Oct 5, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Claudia FiorinaFederica Ettori
Jan 15, 2010·Journal of Interventional Cardiology·Man-Hong JimWing-Hing Chow
May 15, 2010·Journal of Interventional Cardiology·Man-Hong JimWing-Hing Chow
Sep 14, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nadish GargBarry F Uretsky
Jun 9, 2001·The American Journal of Cardiology·H A AbenhaimUNKNOWN ROSETTA Investigators. Routine versus Selective Exercise Treadmill Testing after Angioplasty
Aug 12, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Emmanouil S BrilakisWilliam L Lombardi
Oct 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hugo F Londero
Mar 1, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gerrit J LaarmanUNKNOWN Symbiot II Trial Investigators

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