Saphenous Vein Graft

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Deepak L Bhatt - One of the best experts on this subject based on the ideXlab platform.

  • stent only versus adjunctive balloon angioplasty approach for Saphenous Vein Graft percutaneous coronary intervention insights from diva trial
    Circulation-cardiovascular Interventions, 2020
    Co-Authors: Faisal Latif, Deepak L Bhatt, Lauren Uyeda, Robert Edson, David R Holmes, Sunil V Rao, Steven Goldman, Kendrick A Shunk
    Abstract:

    Background: Direct stenting without pre-dilation or post-dilation has been advocated for Saphenous Vein Graft percutaneous coronary intervention to decrease the incidence of distal embolization, pe...

  • drug eluting stents versus bare metal stents in Saphenous Vein Graft intervention
    Circulation-cardiovascular Interventions, 2018
    Co-Authors: Nileshkumar Patel, George Dangas, Chirag Bavishi, Varunsiri Atti, Avnish Tripathi, Nikhil Nalluri, Mauricio G Cohen, Annapoorna Kini, Samin K Sharma, Deepak L Bhatt
    Abstract:

    Background Percutaneous coronary intervention with drug-eluting stents (DES) has been increasingly used for revascularization of Saphenous Vein Graft stenosis without strong clinical evidence favor...

  • drug eluting stents versus bare metal stents in Saphenous Vein Graft intervention
    Circulation-cardiovascular Interventions, 2018
    Co-Authors: Nileshkumar J Patel, George Dangas, Chirag Bavishi, Varunsiri Atti, Avnish Tripathi, Nikhil Nalluri, Mauricio G Cohen, Annapoorna Kini, Samin K Sharma, Deepak L Bhatt
    Abstract:

    Background Percutaneous coronary intervention with drug-eluting stents (DES) has been increasingly used for revascularization of Saphenous Vein Graft stenosis without strong clinical evidence favoring their use. Randomized controlled trials comparing DES versus bare-metal stents (BMS) in Saphenous Vein Graft-percutaneous coronary intervention have been inconclusive. Methods and Results We performed a comprehensive literature search through May 15, 2018, for all eligible studies comparing DES versus BMS in patients with Saphenous Vein Graft stenosis in PubMed, EMBASE, SCOPUS, Google Scholar, and ClinicalTrials.gov. Clinical outcomes included all-cause mortality, cardiovascular mortality, major adverse cardiovascular events, myocardial infarction, stent thrombosis, and target vessel revascularization. Six randomized controlled trials were eligible and included 1582 patients, of whom 797 received DES and 785 received BMS. The follow-up period ranged from 18 months to 60 months. There was no statistically significant difference between DES and BMS for all-cause mortality (risk ratio [RR],1.11; 95% CI, 0.0.77-1.62; P=0.57), cardiovascular mortality (RR, 1.00; 95% CI, 0.64-1.57; P=0.99), major adverse cardiovascular events (RR, 0.83; 95% CI, 0.63-1.10; P=20), target vessel revascularization (RR, 0.73; 95% CI, 0.48-1.11; P=0.14), myocardial infarction (RR, 0.74; 95% CI, 0.48-1.16; P=0.19), or stent thrombosis (RR, 1.06; 95% CI, 0.42-2.65; P=0.90). Conclusions In patients undergoing percutaneous coronary intervention for Saphenous Vein Graft lesions, our results showed that there was no significant difference between DES and BMS for mortality, major adverse cardiovascular events, target vessel revascularization, myocardial infarction, or stent thrombosis.

David R Holmes - One of the best experts on this subject based on the ideXlab platform.

Faisal Latif - One of the best experts on this subject based on the ideXlab platform.

George Dangas - One of the best experts on this subject based on the ideXlab platform.

  • drug eluting stents versus bare metal stents in Saphenous Vein Graft intervention
    Circulation-cardiovascular Interventions, 2018
    Co-Authors: Nileshkumar Patel, George Dangas, Chirag Bavishi, Varunsiri Atti, Avnish Tripathi, Nikhil Nalluri, Mauricio G Cohen, Annapoorna Kini, Samin K Sharma, Deepak L Bhatt
    Abstract:

    Background Percutaneous coronary intervention with drug-eluting stents (DES) has been increasingly used for revascularization of Saphenous Vein Graft stenosis without strong clinical evidence favor...

  • drug eluting stents versus bare metal stents in Saphenous Vein Graft intervention
    Circulation-cardiovascular Interventions, 2018
    Co-Authors: Nileshkumar J Patel, George Dangas, Chirag Bavishi, Varunsiri Atti, Avnish Tripathi, Nikhil Nalluri, Mauricio G Cohen, Annapoorna Kini, Samin K Sharma, Deepak L Bhatt
    Abstract:

    Background Percutaneous coronary intervention with drug-eluting stents (DES) has been increasingly used for revascularization of Saphenous Vein Graft stenosis without strong clinical evidence favoring their use. Randomized controlled trials comparing DES versus bare-metal stents (BMS) in Saphenous Vein Graft-percutaneous coronary intervention have been inconclusive. Methods and Results We performed a comprehensive literature search through May 15, 2018, for all eligible studies comparing DES versus BMS in patients with Saphenous Vein Graft stenosis in PubMed, EMBASE, SCOPUS, Google Scholar, and ClinicalTrials.gov. Clinical outcomes included all-cause mortality, cardiovascular mortality, major adverse cardiovascular events, myocardial infarction, stent thrombosis, and target vessel revascularization. Six randomized controlled trials were eligible and included 1582 patients, of whom 797 received DES and 785 received BMS. The follow-up period ranged from 18 months to 60 months. There was no statistically significant difference between DES and BMS for all-cause mortality (risk ratio [RR],1.11; 95% CI, 0.0.77-1.62; P=0.57), cardiovascular mortality (RR, 1.00; 95% CI, 0.64-1.57; P=0.99), major adverse cardiovascular events (RR, 0.83; 95% CI, 0.63-1.10; P=20), target vessel revascularization (RR, 0.73; 95% CI, 0.48-1.11; P=0.14), myocardial infarction (RR, 0.74; 95% CI, 0.48-1.16; P=0.19), or stent thrombosis (RR, 1.06; 95% CI, 0.42-2.65; P=0.90). Conclusions In patients undergoing percutaneous coronary intervention for Saphenous Vein Graft lesions, our results showed that there was no significant difference between DES and BMS for mortality, major adverse cardiovascular events, target vessel revascularization, myocardial infarction, or stent thrombosis.

  • Comparison of time course of target lesion revascularization following successful Saphenous Vein Graft angioplasty versus successful native coronary angioplasty.
    The American journal of cardiology, 2000
    Co-Authors: Mun K. Hong, Gary S. Mintz, Augusto D. Pichard, Kenneth M. Kent, Lowell F. Satler, Roxana Mehran, George Dangas, Alexandra J. Lansky, Gregg W. Stone, Martin B. Leon
    Abstract:

    We studied 1,267 patients with 2,186 Saphenous Vein Graft (SVG) lesions to determine the time course of target lesion revascularization (TLR) after successful SVG angioplasty. We found that the time course of TLR in SVG appears prolonged, with only 54% occurring within the first 6 months and continued TLR even after 1 year.

Kendrick A Shunk - One of the best experts on this subject based on the ideXlab platform.