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Updated: Mar 20, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Repeat revascularization: Percutaneous coronary intervention after coronary artery bypass graft surgery
Roberto Scarsini1, Carlo Zivelonghi1, Gabriele Pesarini1
1University of Verona, Department of Medicine, Section of Cardiology, Italy.
Abstract:
Repeat myocardial revascularization procedures are markedly different from de novo interventions, with increased procedural risk and technical-demanding complexity. However the number of patients previously treated with coronary artery bypass graft (CABG) that need a repeat revascularization due to graft failure is increasing consistently. Late graft failure, usually caused by saphenous vein grafts (SVG) attrition, is certainly not uncommon. However PCI on degenerated SVG presents higher complication rate and worse clinical outcome compared with native arteries interventions. In acute graft failure setting, PCI represents a valuable option to treat postoperative myocardial infarction.
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