Time from coronary artery bypass surgery does not affect outcome in patients treated with primary angioplasty for acute saphenous vein graft occlusion

• Published in: Heart (British Cardiac Society) 2007-03, Vol.93 (3), p.381-382
• Main Authors: van der Schaaf, René J, Vis, Marije M, Sjauw, Krischan D, Koch, Karel T, Baan, Jan, Tijssen, Jan G P, de Winter, Robbert J, Piek, Jan J, Henriques, José P S
• Format: Article
• Language: English
• Subjects: Age; Aged; Angioplasty; Angioplasty, Balloon, Coronary - methods; Biological and medical sciences; Blood clots; CABG; Cardiology. Vascular system; Cardiovascular disease; Coronary Artery Bypass - mortality; coronary artery bypass grafting; Coronary heart disease; Coronary vessels; Diseases of the cardiovascular system; Female; Graft Occlusion, Vascular - mortality; Graft Occlusion, Vascular - therapy; Heart; Heart attacks; Heart surgery; Humans; Male; Medical sciences; Middle Aged; Mortality; Myocardial Infarction - etiology; Myocardial Infarction - mortality; PCI; percutaneous coronary intervention; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Saphenous Vein; saphenous vein graft; Scientific Letter; Skin & tissue grafts; ST-elevation myocardial infarction; STEMI; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; SVG; thrombolysis in myocardial infarction; Time Factors; TIMI; Treatment Outcome
• ISSN: 1355-6037; 1468-201X
• DOI: 10.1136/hrt.2006.102020

No difference in outcome was observed in patients presenting either 10 years after CABG. [...]time from CABG does not affect outcome in patients with prior CABG treated with primary PCI for STEMI due to SVG occlusion. [...]the large thrombotic burden markedly complicates the recanalisation of an occluded SVG. [...]of graft age, mechanical reperfusion is often complicated by distal embolisation and no reflow, which is associated with a higher short- and long-term mortality. 1- 3 In elective patients with PCI treated for SVG disease, the Saphenous vein-graft Angiopathy Free of Emboli Randomized Trial showed significant improvement of angiographic outcome (TIMI 3 flow and no reflow), resulting in a reduction in myocardial infarctions, with the use of a distal embolic protection device compared with standard techniques. 5 Interestingly, a substudy of this trial showed that SVG age was not a predictor of clinical outcome, as in our study on patients with STEMI.