Abstract:
:An estimated 400,000 coronary artery bypass graft operations are performed annually in the United States. Saphenous vein grafts are the most commonly used conduits; however, graft failure is common. In contrast, left internal mammary artery grafts have more favorable long-term patency rates. Guidelines recommend aggressive secondary prevention. In the 2 decades following surgery, 16% of patients require repeat revascularization, and percutaneous coronary intervention accounts for 98% of procedures performed. Post-coronary artery bypass graft patients presenting with symptoms of acute coronary syndrome or progressive heart failure should undergo early coronary angiography given the high likelihood that such a presentation represents graft failure. Percutaneous coronary intervention in degenerated saphenous vein grafts is associated with embolization that may cause the "no-reflow phenomenon," which can be avoided with the use of embolic protection devices. Hybrid revascularization procedures are a promising emerging strategy to avoid the placement of vein grafts.
journal_name
Cardiol Revjournal_title
Cardiology in reviewauthors
Collins D,Goldberg Sdoi
10.1097/CRD.0000000000000261subject
Has Abstractpub_date
2020-01-01 00:00:00pages
26-35issue
1eissn
1061-5377issn
1538-4683pii
00045415-202001000-00006journal_volume
28pub_type
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journal_title:Cardiology in review
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pub_type: 杂志文章,评审
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更新日期:2013-07-01 00:00:00
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