Coronary Venous Bypass Lesions

  • Judit Karacsonyi
  • Anil Poulose
  • Ivan Chavez
  • Yale Wang
  • Imre Ungi
  • Subhash Banerjee
  • Emmanouil S. BrilakisEmail author


Saphenous vein graft (SVG) percutaneous coronary interventions (PCIs) are common, currently representing approximately 6% of the overall PCI volume. SVG PCI is associated with higher risk of periprocedural complications and lower long-term patency compared with native coronary artery PCI; hence, the latter is preferred to SVG PCI whenever possible. Embolic protection devices and intragraft vasodilator administration can help to reduce the risk or consequences of distal embolization; however, they are currently underutilized. Drug-eluting stents can reduce the risk of in-stent restenosis and the need for repeat revascularization as compared with bare-metal stents in SVG lesions.


Saphenous vein graft Percutaneous coronary intervention 



Dr. Banerjee: Research grants from Gilead and the Medicines Company; consultant/speaker honoraria from Covidien and Medtronic; ownership in MDCARE Global (spouse); intellectual property in HygeiaTel.

Dr. Brilakis: Consulting/speaker honoraria from Abbott Vascular, Asahi, Cardinal Health, Elsevier, GE Healthcare and St Jude Medical; research support from Boston Scientific and InfraRedx; spouse is employee of Medtronic.

The remaining authors have no conflicts of interest to disclose.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Judit Karacsonyi
    • 1
    • 2
  • Anil Poulose
    • 3
  • Ivan Chavez
    • 3
  • Yale Wang
    • 3
  • Imre Ungi
    • 2
  • Subhash Banerjee
    • 1
  • Emmanouil S. Brilakis
    • 1
    • 3
    Email author
  1. 1.VA North Texas Health Care System and UT Southwestern Medical CenterDallasUSA
  2. 2.Division of Invasive Cardiology, Second Department of Internal Medicine and Cardiology CenterUniversity of SzegedSzegedHungary
  3. 3.Minneapolis Heart InstituteMinneapolisUSA

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