Comparison of percutaneous coronary intervention of saphenous venous graft versus native artery in acute myocardial infarction
Comparison of percutaneous coronary intervention of saphenous venous graft versus native artery in acute myocardial infarction
Aim: Percutaneus coronary intervention (PCI) is recommended as the first choice in saphenous vein graft (SVG) occlusions because of the high mortality linked with repeated coronary artery by-pass grafting (CABG). We observed percutaneous interventions performed in patients presenting with acute myocardial infarction (AMI) with a CABG history in terms of both short- and long-term efficacy and safety. Materials and Methods: The study was conducted retrospectively at a single center. In total, 95 patients with a CABG history who were admitted to our hospital with an AMI and received PCI were included in the study. Results: In-hospital deaths occurred in 4 (4.2%) patients, 30-day major adverse cardiac event (MACE) were present in 8 (8.4%) patients, and 6 (6.3%) patients experienced firstyear target vessel revascularization (TVR). A significant difference was not observed in in-hospital death, 30-days MACE, 1-year TVR and 1-year MACE rates among the patient groups who had PCI in the graft vessel or native vessel. Conclusion: Our study revealed that a significant difference was not present in terms of MACE in the intervention of SVGs or native coronary arteries. Diabetes mellitus (DM) should be kept in mind as a predictive factor.
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