title: Repeat revascularization: Percutaneous coronary intervention after coronary artery bypass graft surgery.
abstract: Repeat myocardial revascularization procedures are markedly different from de novo interventions, with increased procedural risk and technical-demanding complexity. However the number of patients previously treated with coronary artery bypass graft (CABG) that need a repeat revascularization due to graft failure is increasing consistently. Late graft failure, usually caused by saphenous vein grafts (SVG) attrition, is certainly not uncommon. However PCI on degenerated SVG presents higher complication rate and worse clinical outcome compared with native arteries interventions. In acute graft failure setting, PCI represents a valuable option to treat postoperative myocardial infarction.
authors.affiliation: University of Verona, Department of Medicine, Section of Cardiology, Italy. Electronic address: scarsini.roberto@gmail.com.
authors.forename: Roberto
authors.initials: R
authors.lastname: Scarsini
authors.affiliation: University of Verona, Department of Medicine, Section of Cardiology, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Zivelonghi
authors.affiliation: University of Verona, Department of Medicine, Section of Cardiology, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Pesarini
authors.affiliation: University of Verona, Department of Medicine, Section of Cardiology, Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: Vassanelli
authors.affiliation: University of Verona, Department of Medicine, Section of Cardiology, Italy.
authors.forename: Flavio L
authors.initials: FL
authors.lastname: Ribichini
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D019233:Retreatment; D012307:Risk Factors; D012501:Saphenous Vein / Q000473:pathology / Q000503:physiopathology / Q000637:transplantation*; D017211:Treatment Failure; D016896:Treatment Outcome; D014654:Vascular Patency
keywords: Coronary artery bypass graft; Percutaneous coronary intervention; Repeat myocardial revascularization; Saphenous vein graft