Introduction: Percutaneus coronary intervention (PCI) is performed as the first technique in saphenous venous graft occlusions because of the high mortality of repeated coronary artery by-pass grafting (CABG). We observed the percutaneous interventions performed in patients presenting with acute myocardial infarction (AMI) with CABG history both short and long-term safety and efficacy.
Patients and Methods: Our study was performed retrospectively and in a single center. 95 patients with CABG history, who were admitted to our hospital with AMI and performed PCI were included in the study.
Results: In-hospital deaths has occured 4 (4.2%) patients, 30 days MACE has occured in 8 (8.4%) patients and 6 (6.3%) patients has first year TVR. Significant difference did not observed in inhospital death, 30-days MACE, and 1-year TVR rates among the patient groups who had PCI in the graft vessel or native vessel.
Conclusion: As a result, as we observed in our study, both SVG and native coronary arteriy intervention are safe. Diabetes mellitus should be kept in mind as a predictive factor.
Key words: Acute myocardial infarction, Percutaneous coronary interventions, Coronary artery by-pass grafting
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