ISSN 1671-5411 CN 11-5329/R
Ji-Hong WANG, Wei LIU, Xin DU, Chang-Sheng MA, Xue-Si WU. Long term outcomes of saphaneous vein graft intervention in elderly patients with prior coronary artery bypass graft. J Geriatr Cardiol 2014; 11(1): 26-31. doi: 10.3969/j.issn.1671-5411.2014.01.010
Citation: Ji-Hong WANG, Wei LIU, Xin DU, Chang-Sheng MA, Xue-Si WU. Long term outcomes of saphaneous vein graft intervention in elderly patients with prior coronary artery bypass graft. J Geriatr Cardiol 2014; 11(1): 26-31. doi: 10.3969/j.issn.1671-5411.2014.01.010

Long term outcomes of saphaneous vein graft intervention in elderly patients with prior coronary artery bypass graft

doi: 10.3969/j.issn.1671-5411.2014.01.010
  • Received Date: 2013-12-29
  • Rev Recd Date: 2014-01-27
  • Publish Date: 2014-03-20
  • Objectives To investigate the procedure characteristics and long term follow-up of percutaneous coronary intervention (PCI) for saphaneous vein graft (SVG) lesions in the elderly patients. Methods From December 2005 to December 2011, 84 graft lesions were treated percutaneously. Seventeen were located at proximal anastomosis, 48 were located at SVG body, 19 were located at distal anastomosis. Primary endpoint was defined as major adverse cardiovascular events (MACE, composite of cardiac death, target vessel revascularization, acute myocardial infarction). Results The graft age was 6.7 ± 4.0 years. Most anastomosis lesions (80.0%) presented within one year post coronary artery bypass grafting (CABG). Proximal anastomosis lesion had the lowest successful rate for PCI compared with graft body and distal anastomosis lesions (70.6% vs. 91.7%, 79.0%, P P P P vs. body graft PCI 16.7%, distal anastomosis PCI 21.1%; P P = 0.04). Conclusions PCI of SVG lesions is feasible with lower success rate. PCI of ostial graft anastomosis lesions had the lowest procedure success rate and highest MACE rate compared with graft body and distal anastomosis lesions. Old myocardial infarction was a predictive factor of poor outcomes.
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