<unk>  vein<unk>  intervention is a high risk interventional cardiology procedure which is intended to improve flow in a partially obstructed<unk>  vein<unk>  which is anastomosed to a native coronary artery.  Intervention in a totally occluded<unk>  vein<unk>  is a "tempatation best left avoided" given the potential for extensive embolization into the native circulation.  Based upon the SAFER trial, percutaneous coronary intervention in a<unk>  vein<unk>  is usually performed in conjunction with distal protection to minimize the embolic potential. For most SVG lesions, PCI with stenting appears to be the therapy of choice.  DES are associated with a decreased restenosis rate over BMS, and should be used preferentially if the patient is able to tolerate dual platelet therapy for a minimum of a year.  Furthermore, embolic protection devices should be strongly considered for all SVG lesions, especially those with high risks for distal embolization.  In cases in which stent delivery and expansion may be difficult due to heavily calcified and stenotic lesions, atherectomy devices, used with stenting, may be considered.  Furthermore, these devices can be useful in lesions that are aorto-ostial.
Saphenous vein graft disease treatment
Varicose veins medical therapy
Stent thrombosis prevention
Peripheral arterial disease medical therapy
Varicose veins surgery
Raynaud's phenomenon medical therapy
Diabetic foot medical therapy
Buerger's disease primary prevention