18.1 PCI in prior CABG patients - Manual of PCI

Step-by-step description of how to perform angiography and PCI in patients with prior coronary artery bypass graft surgery.

[@77bansal]

good morning sir.2 tips are very important to learn from svg pci,no stenting if no reflow is there and opening a native vessel is more important than graft vessel.thanks sir for the wonderful learning.regards

[@januarmartha3160]

Impresssive description, Dr Manos

[@TheNEF11]

excellent presentation! thank you very much!

[@areenal-taie6836]

Impressive

[@juliansosa5545]

Is quite often to found CABG patients with long and very complex CTO of the native vessel due to the flow dinámics, long term lack of flow and eventually most of the SVG will occlude in upcoming 1-5years, we don't know if the SVG was a good "Not touch" vein and there fore will be patent in 5years. With this in mind....is there anything we can do preventive once we send a patient to CABG? Obviously LDL, Rehab, weight and Optimal Medical Treatment, but maybe open de native from ostial to distal before de graft so in the near future will be a simple CTO more easily to open? Or maybe be more accurate on symptoms or stress test? Any recommendations in order to prevent a highly complex angioplasty in the near future?

[@sergiupasca1985]

Dear Prof. Brilakis, like always great presentation! One small question about pseudolesion and dissection...how can we differentiate them without getting the wire out - if its a dissection getting the wire out, would not be so great.. thanks a lot and all the best! Your channell is like a wikipedia for interventional cardiology..very very impressive

[@alxdan1964]

What about using aspiration thrombectomy in case of massive debries seen in SVG after POBA

[@Альбертини-51]

In what cases do you use distal protection during treatment SVG? By what criteria can you say that in this case it is necessary to use distal protection?

[@farukakturk5388]

For crossing a Lima to lad anastomosis with many clips arround what would you reccomend?

[@manosbrilakis]

Would initially try with a workhorse wire and if this fails try with a soft, polymer-jacketed wire. If it still fails would try to use the aforementioned wires over a microcatheter.