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

JACC Cardiovasc Interv. 2019 Sep 9;12(17):1635-1649. doi: 10.1016/j.jcin.2019.04.051. Epub 2019 Aug 14.

Abstract

Patients who undergo coronary bypass graft surgery often require subsequent cardiac catheterization and repeat coronary revascularization. Saphenous vein graft lesions have high rates for distal embolization that can be reduced with use of embolic protection devices. They also have high restenosis rates, which are similar with drug-eluting and bare-metal stents. Percutaneous coronary interventions of native coronary arteries is generally preferred over saphenous vein graft interventions, but can often be complex, requiring expertise and specialized equipment. Prolonged dual-antiplatelet therapy and close monitoring can help optimize subsequent clinical outcomes.

Keywords: coronary artery bypass grafting surgery; percutaneous coronary intervention; revascularization.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization* / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheterization* / mortality
  • Coronary Artery Bypass* / adverse effects
  • Coronary Artery Bypass* / mortality
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / surgery*
  • Coronary Restenosis / etiology
  • Dual Anti-Platelet Therapy
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / mortality
  • Graft Occlusion, Vascular / therapy*
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / instrumentation
  • Percutaneous Coronary Intervention* / mortality
  • Risk Factors
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / transplantation*
  • Stents
  • Time Factors
  • Treatment Outcome