Mechanisms, Prevention and Treatment of Saphenous Vein Graft Disease.
Am J Cardiol
; 154: 41-47, 2021 09 01.
Article
em En
| MEDLINE
| ID: mdl-34256942
ABSTRACT
Saphenous vein grafts are imperfect yet indispensable conduits commonly used for coronary artery bypass grafting. Their degeneration ultimately leading to occlusion results from the pathological response of the vein to altered blood rheology and several types of vascular injury. Surgical techniques minimizing vessel damage, and prolonged antiplatelet and lipid-lowering treatment are established methods of mitigating the degeneration process hence preventing graft occlusions. Percutaneous interventions in degenerated vein grafts carry high risk of embolization, periprocedural myocardial infarction and restenosis. Thus, native vessel should be the preferred treatment target in case of graft failure whenever technically feasible.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Veia Safena
/
Trombose
/
Doença da Artéria Coronariana
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Ponte de Artéria Coronária
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Aterosclerose
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Oclusão de Enxerto Vascular
Limite:
Humans
Idioma:
En
Revista:
Am J Cardiol
Ano de publicação:
2021
Tipo de documento:
Article