Coufal Zdeněk, Gřiva Martin, Náplava Robert
Vnitr Lek. 2014 Apr;60(4):289-92.
Coronary artery bypass grafting (CABG) is older method of revascluarization treatment of coronary artery disease (CAD) then percutaneous coronary intervention (PCI), but in some cases, especially in multivessel disease or chronic total occlusions, still used. Extending survival of patients with CAD increases number of recathetrizations and interventions namely in post-CABG subjects. Due to degenerative and atherosclerotic changes of bypasses, especially venous grafts, interventional cardiologists are forced to solve often complicated findings. In other cases patients are reoperated with increased risk. Our task describes unusual, technically challenging and somewhat risk PCI of native vessel through arterial bypass in post-PCI patient with significant angina.
冠状动脉旁路移植术（CABG）是一种比经皮冠状动脉介入治疗（PCI）更早用于治疗冠状动脉疾病（CAD）的血管重建方法，但在某些情况下，尤其是在多支血管病变或慢性完全闭塞时，仍在使用。提高CAD患者的生存率增加了再次导管插入术和干预的次数，特别是在CABG术后患者中。由于旁路血管，尤其是静脉移植物的退行性和动脉粥样硬化改变，介入心脏病学家常常被迫解决复杂的病变。在其他情况下，患者再次手术的风险会增加。我们的任务描述了在一位有严重心绞痛的PCI术后患者中，通过动脉旁路对自身血管进行的不寻常、技术上具有挑战性且有一定风险的PCI。
