[Results of endovascular revascularization with the use of stents after coronary bypass surgery in patients with ischemic heart disease].
OBJECTIVE
To compare results of stenting in patients with and without prior coronary artery bypass grafting (CABG).


METHODS
In 21 patients after CABG stents were implanted both in venous grafts and native vessels (secondary revascularization) and in 25 patients without history of CABG native vessels were stented (primary revascularization).


RESULTS
Primary revascularization: there was 1 periprocedural non Q wave myocardial infarction (4%), angina disappeared in 88% and recurred in 1 year in 24% of patients; one year restenosis rate - 18.2%. Secondary revascularization: 1 periprocedural non Q wave (4.8%) and 1 Q wave (4.8%) myocardial infarction. Angina disappeared after stenting in 90.5% and recurred in 1 year in 19% of patients; one year restenosis rate - 17.6%.


CONCLUSIONS
Both primary and secondary revascularizations were highly effective. However secondary stenting was associated with more frequent acute complications.
Belenkov
Iu N
IuN
Akchurin
R S
RS
Savtchenko
A P
AP
Shiriaev
A A
AA
Liakishev
A A
AA
Rudenko
B A
BA
D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome