Current Treatment Options in Cardiovascular Medicine

, 16:301

Saphenous Vein Graft Interventions

  • Emmanouil S. Brilakis
  • Michael Lee
  • Julinda Mehilli
  • Konstantinos Marmagkiolis
  • Josep Rodes-Cabau
  • Rajesh Sachdeva
  • Anna Kotsia
  • George Christopoulos
  • Bavana V. Rangan
  • Atif Mohammed
  • Subhash Banerjee
Coronary Artery Disease (D Feldman, Section Editor)

DOI: 10.1007/s11936-014-0301-x

Cite this article as:
Brilakis, E.S., Lee, M., Mehilli, J. et al. Curr Treat Options Cardio Med (2014) 16: 301. doi:10.1007/s11936-014-0301-x
Part of the following topical collections:
  1. Topical Collection on Coronary Artery Disease

Opinion statement

Saphenous vein graft (SVG) percutaneous coronary intervention (PCI) currently accounts for approximately 6 % of all PCIs and is associated with increased risk for distal embolization and subsequent SVG failure compared with native coronary artery PCI. To minimize the risk for distal embolization, embolic protection devices should be used during SVG PCI when technically feasible. To minimize the risk for in-stent restenosis and the need for repeat PCI, drug eluting stents should be utilized in patients without contraindications to long-term antiplatelet therapy. Treating native coronary artery lesions is preferable to SVG PCI when technically feasible.

Keywords

Percutaneous coronary interventionSaphenous vein graftsOutcomesDrug eluting stentInternal mammary artery

Copyright information

© Springer Science+Business Media New York (outside the USA) 2014

Authors and Affiliations

  • Emmanouil S. Brilakis
    • 1
  • Michael Lee
    • 2
  • Julinda Mehilli
    • 3
  • Konstantinos Marmagkiolis
    • 4
  • Josep Rodes-Cabau
    • 5
  • Rajesh Sachdeva
    • 6
  • Anna Kotsia
    • 1
  • George Christopoulos
    • 1
  • Bavana V. Rangan
    • 1
  • Atif Mohammed
    • 1
  • Subhash Banerjee
    • 1
  1. 1.VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas VA Medical Center (111A)DallasUSA
  2. 2.UCLA Medical CenterLos AngelesUSA
  3. 3.Munich University Clinic, Campus Grosshadern and InnenstadtLudwig-Maximilian UniversityMunichGermany
  4. 4.Citizens Memorial HospitalHeart and Vascular InstituteBolivarUSA
  5. 5.Quebec Heart and Lung InstituteQuebec CityCanada
  6. 6.Wellstar CardiologyNorth Fulton HospitalRoswellUSA