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SVGs remain the most commonly used conduits in CABG. Despite advancements in surgical techniques and pharmacotherapy, SVG failure rates remain high. The no-touch SVG harvesting technique, which minimizes graft manipulation and preserves the vasa vasorum and nerves, has been shown to reduce the risk of SVG failure. Stenting of intermediate SVG stenosis (30%–60%) often leads to rapid disease progression. Redo CABG is associated with higher perioperative mortality than PCI. This chapter reviews recent studies on SVG PCI and discusses reasonable approaches to its management.

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PCI in Patients with Prior Coronary Artery Bypass Graft Surgery

  • 章节

  • 发表日期：

    2025年

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  • Ata Firouzi,
  • Ehsan Khalilipur,
  • Zahra Hosseini

摘要

SVGs remain the most commonly used conduits in CABG. Despite advancements in surgical techniques and pharmacotherapy, SVG failure rates remain high. The no-touch SVG harvesting technique, which minimizes graft manipulation and preserves the vasa vasorum and nerves, has been shown to reduce the risk of SVG failure. Stenting of intermediate SVG stenosis (30%–60%) often leads to rapid disease progression. Redo CABG is associated with higher perioperative mortality than PCI. This chapter reviews recent studies on SVG PCI and discusses reasonable approaches to its management.