Browse by author
Lookup NU author(s): Dr Mohaned Egred
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
© 2022 The Author(s). Published by IMR Press. This is an open access article under the CC BY 4.0 license.Background: Percutaneous coronary intervention (PCI) is common in patients with prior coronary artery bypass graft surgery (CABG), however, there is limited data on the association between the PCI target-vessel and clinical outcomes. In this article, we provide a state-of-the-art overview of the contemporary management of patients with prior CABG and a clear indication for revascularization. Methods: We performed a structured literature search of PubMed and Cochrane Library databases from inception to March 2021. Relevant studies were extracted and synthesized for narrative review. Results: Twenty-six observational studies focusing on PCI of bypass graft versus native coronary artery lesions in 366,060 patients with prior CABG were included. The data from observational studies suggest that bypass graft PCI is associated with higher short- and long-term major adverse cardiac events compared to native coronary artery PCI. Conclusions: Whenever feasible, native coronary artery PCI should be the prioritized treatment for saphenous vein graft failure. Prospective randomized trials are needed to elucidate the optimal revascularization strategy for patients with prior CABG.
Author(s): Farag M, Brilakis ES, Gasparini GL, Spratt JC, Egred M
Publication type: Review
Publication status: Published
Journal: Reviews in Cardiovascular Medicine
Year: 2022
Volume: 23
Issue: 7
Online publication date: 24/06/2022
Acceptance date: 29/04/2022
ISSN (print): 1530-6550
ISSN (electronic): 2153-8174
Publisher: IMR Press Limited
URL: https://doi.org/10.31083/j.rcm2307232
DOI: 10.31083/J.RCM2307232
