Open AccessA Case of Using No-Touch Saphenous Vein Graft in Redo CABG after Multiple Failed Percutaneous Coronary Interventions
Author(s) -
Victor Edin,
Håkan Geijer,
Piotr Jakuszewski,
Domingos Souza
Publication year - 2022
Publication title -
brazilian journal of cardiovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1678-9741
pISSN - 0102-7638
DOI - 10.21470/1678-9741-2021-0203
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , saphenous vein graft , percutaneous , angina , revascularization , surgery , coronary artery disease , cardiology , artery , vein , myocardial infarction
The modality of repeat revascularization due to late graft failure is a debated topic. The latest available European guidelines recommend redo coronary artery bypass graft (CABG) for cases of extensively diseased and/or occluded grafts and those with diffuse native vessel disease. We present the case of a patient being relieved of recurrent unstable angina pectoris with redo CABG using no-touch saphenous vein grafts after repeated and unsuccessful attempts with percutaneous coronary intervention (PCI). This could be an alternative to PCI in patients with a complex medical history. Teamwork between cardiologists and surgeons is pivotal in deciding the best treatment modality.