Multivessel disease, risk of graft failure

Abstract

Multivessel disease (MVD) is a challange for both interventional cardiologists and cardiovascular surgeons. Despite all the remarkable progress of modern medicine, this condition frequently requires surgical myocardial revascularization in the drug-eluting stent era. Coronary artery bypass grafting is known to improve survival. However, in patients with MVD, the fate of the graft is negatively infl uenced by a cumulation of risk factors. The use of multiple conduits with specifi c long-term patencies, the technical aspects regarding the complexity of the procedure including personal technical skills but also institutional facilities and associated comorbidities that promote accelerated atherosclerosis lead to an increased risk of graft failure in patients with MVD.