Towards a Saphenous Vein Graft Moratorium.

Abstract:

:Atherosclerosis develops and rapidly progresses in saphenous veins grafts after coronary bypass surgery. In contrast to native coronary artery, percutaneous revascularization does not impede the progression of saphenous vein atherosclerosis and saphenous vein graft failure commonly ensues. The protracted patency of arterial grafts is likely to account for most of the long-term superiority of coronary artery bypass surgery over percutaneous revascularization in patients with complex coronary artery disease. Long-lasting, complete coronary revascularization may be best achieved by combining surgical arterial grafting of diseased coronary arteries to percutaneous revascularization with drug-eluting stents than by the continued use of saphenous vein grafts.

journal_name

Cardiol Rev

journal_title

Cardiology in review

authors

Motwani A,Ayinapudi K,Singh T,Maini R,Hendel R,Le Jemtel TH

doi

10.1097/CRD.0000000000000277

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

236-239

issue

5

eissn

1061-5377

issn

1538-4683

journal_volume

28

pub_type

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