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)
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 intervention Saphenous vein grafts Outcomes Drug eluting stent Internal mammary artery 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Dr. Emmanouil S. Brilakis received research support from the department of Veterans Affairs (PI of the Drug Eluting Stents in Saphenous Vein Graft Angioplasty – DIVA trial and Merit grant – I01-CX000787-01) and from the National Institutes of Health (1R01HL102442-01A1); consulting fees/speaker honoraria from St Jude Medical, Boston Scientific, Asahi, Janssen, Sanofi, and Terumo; research support from Guerbet; spouse is an employee of Medtronic. Dr. Michael Lee received honoraria from Medtronic, Boston Scientific, Abiomed, and St. Jude Medical. Dr. Julinda Mehilli received lecture fees from Lilly/Daiichi Sankyo, Abbott Vascular, Terumo, The Medicines Company, and Biotronik. Dr. Josep Rodes-Cabau received an unrestricted research grant from Boston Scientific. Dr. Subhash Banerjee received research support from the department of Veterans Affairs (PI of the—Plaque Regression and Progenitor Cell Mobilization with Intensive Lipid Elimination Regimen (PREMIER)) trial. Speaker honoraria from St. Jude Medical, Medtronic, and Johnson & Johnson, Boehinger, Sanofi, Mdcare Global; research support from Boston Scientific and The Medicines Company. Dr. Konstantinos Marmagkiolis, Dr. Rajesh Sachdeva, Dr. Anna Kotsia, Dr. George Christopoulos, Dr. Bavana V. Rangan, and Dr. Atif Mohammed each declare no potential conflicts of interest relevant to this article.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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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

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