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  • Title: Percutaneous treatment of diseased saphenous vein grafts: current state-of-the-art and future directions.
    Author: Vermeersch P, Agostoni P.
    Journal: Minerva Cardioangiol; 2007 Oct; 55(5):637-46. PubMed ID: 17912167.
    Abstract:
    The percutaneous treatment of patients with obstructive atherosclerotic disease in diseased coronary saphenous vein bypass grafts still remains a challenge in interventional cardiology. We discuss the actual evidence-based knowledge for the percutaneous management of this lesion subset, focusing on the devices that are actually considered the gold standard for this treatment: bare-metal stents and distal protection devices. We also comment the negative results of the trials regarding the promising covered stent-grafts. We finally offer insights into the currently available evidence for the use of drug-eluting stents in saphenous vein grafts. These devices are potentially a promise for the successful sealing of vein graft disease, however, available long-term safety and effectiveness data are conflicting and give reason for caution.
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