A Tassopoulos1, M Didagelos2, I Tsiafoutis1, A Ziakas2, M Koutouzis1. 1. Department of Cardiology, Red Cross General Hospital, Athens, Greece. 2. 1 Cardiology Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Greece.
Abstract
BACKGROUND: Management of coronary artery graft failure, especially at the site of a recent distal anastomosis, is a challenging clinical situation, and literature data are scarce. CASE SERIES: We present a case series of patients with coronary artery bypass graft failure up to six months after surgical revascularization, who were treated with percutaneous coronary intervention at the site of distal graft anastomosis through the graft or the native vessel. CONCLUSIONS: Percutaneous coronary intervention at distal graft anastomotic lesions is challenging, it can be performed from either the graft or the native vessel, and the angiographic result may not always be optimal. HIPPOKRATIA 2019, 23(2): 87-91. Copyright 2019, Hippokratio General Hospital of Thessaloniki.
BACKGROUND: Management of coronary artery graft failure, especially at the site of a recent distal anastomosis, is a challenging clinical situation, and literature data are scarce. CASE SERIES: We present a case series of patients with coronary artery bypass graft failure up to six months after surgical revascularization, who were treated with percutaneous coronary intervention at the site of distal graft anastomosis through the graft or the native vessel. CONCLUSIONS: Percutaneous coronary intervention at distal graft anastomotic lesions is challenging, it can be performed from either the graft or the native vessel, and the angiographic result may not always be optimal. HIPPOKRATIA 2019, 23(2): 87-91. Copyright 2019, Hippokratio General Hospital of Thessaloniki.
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