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Saphenous Vein Graft Interventions

  • Coronary Artery Disease (D Feldman, Section Editor)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

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.

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References and Recommended Reading

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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.

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Authors and Affiliations

  1. VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX, 75216, USA

    Emmanouil S. Brilakis MD, PhD, Anna Kotsia MD, George Christopoulos MD, Bavana V. Rangan BDS, MPH, Atif Mohammed MD & Subhash Banerjee MD

  2. UCLA Medical Center, Los Angeles, CA, USA

    Michael Lee MD

  3. Munich University Clinic, Campus Grosshadern and Innenstadt, Ludwig-Maximilian University, Munich, Germany

    Julinda Mehilli MD

  4. Citizens Memorial Hospital, Heart and Vascular Institute, Bolivar, MO, USA

    Konstantinos Marmagkiolis MD

  5. Quebec Heart and Lung Institute, Quebec City, Quebec, Canada

    Josep Rodes-Cabau MD

  6. Wellstar Cardiology, North Fulton Hospital, Roswell, GA, USA

    Rajesh Sachdeva MD

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  1. Emmanouil S. Brilakis MD, PhD
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  2. Michael Lee MD
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  3. Julinda Mehilli MD
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  7. Anna Kotsia MD
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  9. Bavana V. Rangan BDS, MPH
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  11. Subhash Banerjee MD
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Correspondence to Emmanouil S. Brilakis MD, PhD.

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This article is part of the Topical Collection on Coronary Artery Disease

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Brilakis, E.S., Lee, M., Mehilli, J. et al. Saphenous Vein Graft Interventions. Curr Treat Options Cardio Med 16, 301 (2014). https://doi.org/10.1007/s11936-014-0301-x

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