Unusual intervention of native vessel in patient with coronary artery bypass

Czech version

Authors: Zdeněk Coufal; Martin Gřiva; Robert Náplava
Authors‘ workplace: Kardiovaskulární centrum pro dospělé, vedoucí lékař prim. MUDr. Zdeněk Coufal, a Interní klinika IPVZ Praha a Krajské nemocnice T. Bati, a. s. Zlín, přednosta MUDr. Jiří Latta
Published in: Vnitř Lék 2014; 60(4): 289-292
Category: 60th Birthday - prof. MUDr. Petr Widimský, DrSc., FESC, FACC

Overview

Coronary artery bypass grafting (CABG) is older method of revascluarization treatment of coronary artery disease (CAD) then percutaneous coronary intervention (PCI), but in some cases, especially in multivessel disease or chronic total occlusions, still used. Extending survival of patients with CAD increases number of recathetrizations and interventions namely in post-CABG subjects. Due to degenerative and atherosclerotic changes of bypasses, especially venous grafts, intervential cardiologists are forced to solve often complicated findings. In other cases patients are reoperated with increased risk. Our task describes unusual, technically challenging and somewhat risk PCI of native vessel through arterial bypass in post-PCI patient with significant angina.

Key words:
coronary artery bypass – coronary artery disease – percutaneous coronary intervention

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