Excimer Laser for Revascularisation of Saphenous Vein Grafts

Abstract

Coronary artery bypass grafting has been a major advance in cardiovascular medicine over the past 30 years. Saphenous venous bypass grafts, however, are prone to develop atherosclerotic disease within several years of the procedure. Unfortunately, percutaneous interventional techniques in saphenous venous bypass grafts are associated with significant risks of distal embolisation and resultant non-Q wave myocardial infarction. Preliminary results suggest excimer laser angioplasty may significantly reduce this complication. This article summarises the results of percutaneous interventions in spahenous venous bypass grafts, emphasising the potential role of excimer laser angioplasty in this group of patients.