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Ten‐year Outcomes After Percutaneous Coronary Intervention of In‐stent Restenosis in Saphenous Vein Grafts by Constantin Kuna; Nadine Wiedenmayer; Christian Bradaric; Antonia Presch; Felix Voll; Sebastian Kufner; Tareq Ibrahim; Heribert Schunkert; Karl‐Ludwig Laugwitz; Salvatore Cassese; Adnan Kastrati; Jens Wiebe is a Medicine article available to read on EtoBox.

What is Ten‐year Outcomes After Percutaneous Coronary Intervention of In‐stent Restenosis in Saphenous Vein Grafts about?

## Abstract ## Background Only few data is available for long‐term outcomes of patients being treated for in‐stent restenosis (ISR) in saphenous vein grafts (SVG). ## Aims Thus, the aim of this observational, retrospective study was to close this lack of evidence. ## Methods Between January 2007 and February 2021 a total of 163 patients with 186 ISR lesions located in SVG were treated at two large‐volume centers in Munich, Germany. Endpoints of interest were all‐cause mortality, target lesion revascularization (TLR) and target vessel myocardial infarction (TVMI). Furthermore, recurrent ISR were assessed. Outcomes are presented as Kaplan–Meier event rates. ## Results Mean age was 72.6 ± 8.6 years, 90.8% were male, 36.8% were diabetics and 42.3% presented an acute coronary syndrome. ISR were treated with DES in 64.0% and with balloon angioplasty (BA) in 36.0%. After 10 years, the rates for all‐cause mortality, TVMI and TLR were 58.2%, 15.4%, and 22.6%, respectively. No statistically relevant differences were found between the types of treatment (DES or BA) regarding all‐cause mortality (55.7% vs. 63.2%, p = 0.181), TVMI (13.8% vs. 18.6%, p = 0.215) and TLR (21.8% vs. 25.0%, p = 0.764

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Author

Constantin Kuna; Nadine Wiedenmayer; Christian Bradaric; Antonia Presch; Felix Voll; Sebastian Kufner; Tareq Ibrahim; Heribert Schunkert; Karl‐Ludwig Laugwitz; Salvatore Cassese; Adnan Kastrati; Jens Wiebe

Publisher

Wiley

Published

2023

Field

Medicine (Health Sciences)