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Secondary Percutaneous Revascularization After Coronary Artery Bypass Graft Surgery

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Abstract

Better longevity and increasing rates of myocardial revascularization have resulted in higher rates of secondary revascularization procedures. This phenomenon is particularly pertinent to surgically revascularized patients due to the common occurrence of graft failure and progression of native vessel disease. Secondary revascularization procedures have a higher degree of complexity and higher procedural risks due to the presence of diffuse stenosis and chronic total occlusions, as well as the association with many comorbidities, such as diabetes, chronic renal failure, and peripheral arterial disease. In this chapter we will address the decision-making process in repeat revascularization procedures, underlining the importance of the Heart Team; and will describe the particularities and the evidence regarding percutaneous treatment of saphenous vein grafts, arterial grafts, and native arteries in patients with previous revascularization surgery.

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Authors and Affiliations

  1. Interventional Cardiology Unit, Department of Cardiology, Hospital Universitario Clínico San Carlos IDISSC and Universidad Complutense de Madrid, Madrid, Spain

    Jean Paul Vilchez-Tschischke, Hernán David Mejía-Rentería, Nieves Gonzalo, Philip Francis Dingli, Pablo Salinas & Javier Escaned

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  1. Jean Paul Vilchez-Tschischke
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  2. Hernán David Mejía-Rentería
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  3. Nieves Gonzalo
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  4. Philip Francis Dingli
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  5. Pablo Salinas
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  6. Javier Escaned
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Correspondence to Javier Escaned .

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Editors and Affiliations

  1. Brighton and Sussex Medical School and the Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK

    Aung Myat

  2. Royal Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, UK

    Sarah Clarke

  3. Wessex Cardiothoracic Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK

    Nick Curzen

  4. Department of Cardiology, Bern University Hospital, Bern, Switzerland

    Stephan Windecker

  5. Inova Center for Thrombosis Research and Drug Development, Inova Heart and Vascular Institute, Falls Church, VA, USA

    Paul A. Gurbel

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Vilchez-Tschischke, J.P., Mejía-Rentería, H.D., Gonzalo, N., Dingli, P.F., Salinas, P., Escaned, J. (2018). Secondary Percutaneous Revascularization After Coronary Artery Bypass Graft Surgery. In: Myat, A., Clarke, S., Curzen, N., Windecker, S., Gurbel, P.A. (eds) The Interventional Cardiology Training Manual. Springer, Cham. https://doi.org/10.1007/978-3-319-71635-0_30

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