title: PCI in failing saphenous vein grafts: DES trumps BMS for the older patient.
abstract: PCI to SVG is considered a higher risk intervention requiring clinical judgment, especially in the elderly who may have the oldest and most degenerated SVG conduits. In a cohort of patients with a median age of 75 years who received PCI to SVG with DES, all-cause mortality was lower compared to those receiving BMS, and no difference in MI or urgent revascularization was observed to 3 years. PCI to SVG using DES may be a viable and perhaps superior treatment option for elderly patients.
authors.affiliation: Chief of Cardiology and Associate Professor of Medicine, University of California, Irvine, California.
authors.forename: Pranav M
authors.initials: PM
authors.lastname: Patel
authors.affiliation: Chief of Medicine, Veterans Administration Long Beach Health Care System, Professor of Medicine, University of California, Irvine, California.
authors.forename: Morton J
authors.initials: MJ
authors.lastname: Kern
mesh_terms: D017023:Coronary Angiography; D054855:Drug-Eluting Stents; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D009203:Myocardial Infarction / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation*