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Saphenous Vein Graft Intervention.

Bharadwaj, Aditya S.; Mamas, Mamas

Authors

Aditya S. Bharadwaj



Abstract

Even though saphenous vein grafts (SVGs) are the most commonly used surgical conduits, their long-term patency is limited by accelerated atherosclerosis often resulting in acute coronary syndrome or asymptomatic occlusion. SVG intervention is associated with 2 significant challenges: a significant risk of distal embolization with resultant periprocedural myocardial infarction in the short-term and restenosis in the long-term. Several individual trials have compared bare metal stents with drug-eluting stents for SVG intervention. This review article discusses the pathophysiology of SVG lesions, indications for SVG intervention, and the challenges encountered, and also technical considerations for SVG intervention and the supporting evidence.

Citation

Bharadwaj, A. S., & Mamas, M. (2022). Saphenous Vein Graft Intervention. Interventional Cardiology Clinics, 383 - 391. https://doi.org/10.1016/j.iccl.2022.05.001

Acceptance Date Sep 22, 2022
Publication Date Oct 1, 2022
Journal Interventional Cardiology Clinics
Print ISSN 2211-7458
Publisher Elsevier
Pages 383 - 391
DOI https://doi.org/10.1016/j.iccl.2022.05.001
Publisher URL https://www.interventional.theclinics.com/article/S2211-7458(22)00046-3/fulltext#%20