Angioplasty for aortocoronary bypass graft stenosis.

Abstract:

:During the period November 1979 to October 1984, 19 patients at our institution underwent balloon angioplasty of partial or complete obstruction of aortocoronary artery saphenous vein bypass grafts. The procedures were performed a mean of 38 months after a coronary bypass operation to relieve recurrent angina of at least class 2 in the Canadian Cardiovascular Association functional classification. Graft angioplasty was successful in 16 of the 19 patients, and the location of the lesion (in the origin, body, or distal insertion of the graft) did not seem to be an important factor in achieving a successful result. At a mean follow-up interval of 20 months (range, 1 to 40 months), 14 patients had symptomatic improvement. Two patients required late repeat operation and four had repeat angioplasty because of restenosis. Our experience supports the use of balloon angioplasty in selected patients with bypass graft stenosis, but restenosis remains a substantial problem.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Reeder GS,Bresnahan JF,Holmes DR Jr,Mock MB,Orszulak TA,Smith HC,Vlietstra RE

doi

10.1016/s0025-6196(12)61392-5

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

14-9

issue

1

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)61392-5

journal_volume

61

pub_type

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