PMID: 6226248Oct 1, 1983

Percutaneous saphenous vein angioplasty to avoid reoperative bypass surgery

The Annals of Thoracic Surgery
E L JonesC R Hatcher

Abstract

Thirty-seven patients with vein graft stenosis following coronary artery bypass underwent percutaneous transluminal vein graft angioplasty to avoid another operation. Location of the stenoses was at the aortic anastomosis in 3 patients, in the vein body in 12, and at the distal anastomosis in 22. All patients had disabling angina pectoris. Initial success (greater than 20% reduction of stenosis) was achieved in 35 patients. Vein graft angioplasty was performed within a year after bypass in 28 patients. The percent of stenosis and the pressure gradient across the obstruction were reduced from 84 to 24% and from 58 to 15 mm Hg, respectively. Complications of the procedure included emergency coronary artery bypass in 2 patients, myocardial infarction in 2, and ventricular fibrillation in 1. There were no deaths. Of 15 patients with stenosis at the aortic anastomosis or vein body, the dilation was initially successful in 14 but restenosis occurred in 7 within the first year after angioplasty. Only 2 of the remaining 7 were asymptomatic after vein graft angioplasty. However, for patients having vein graft angioplasty of the distal anastomosis, restenosis occurred in only 3, while 12 were asymptomatic at the end of the first year. Th...Continue Reading

References

Nov 1, 1982·The Annals of Thoracic Surgery·E L JonesC R Hatcher

Citations

Jul 1, 1996·Journal of the American College of Cardiology·P de JaegereP W Serruys
May 1, 1987·British Heart Journal·K Laird-MeeterP G Hugenholtz
Oct 1, 1993·The American Journal of the Medical Sciences·R A LangeL D Hillis
Sep 1, 1985·The American Journal of Cardiology·J CorbelliK Galan
Jul 1, 1985·The Annals of Thoracic Surgery·G J BrahosD J Fankhauser
Sep 1, 1985·Acta Radiologica: Diagnosis·D C Cumberland
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·W G Kussmaul
Feb 1, 1986·The British Journal of Surgery·A Lamerton

Related Concepts

Angioplasty, Balloon
Coronary Artery Bypass Surgery
Stenosis
Coronary Heart Disease
Repeat Surgery

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