Percutaneous coronary intervention for distal anastomotic lesions

Abstract

Distal anastomotic lesions are the most common cause for venous and arterial graft failure and often require revascularization therapy. Because redo coronary artery bypass surgery is associated with higher risk of mortality and morbidity compared to fi rst operation, the majority of interventional cardiologists prefer percutaneous repeat revascularization strategy in this lesion subset. However, the best percutaneous treatment for these lesions has not yet been established. This chapter summarizes the data reported so far on outcomes after percutaneous coronary intervention of distal anastomotic lesions in both saphenous vein and internal mammary arterial bypass grafts and discusses the future directions.