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Catheter Cardiovasc Interv. 2016 Jul;88(1):84-5. doi: 10.1002/ccd.26638.

Saphenous vein bypass graft intervention and embolic protection devices: Time for reassessment (and revision of percutaneous coronary intervention guidelines).

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  • 1Department of Cardiovascular Medicine, Beaumont Health, Royal Oak, Michigan.

Abstract

Professional societies recommend embolic protection devices (EPDs) during percutaneous intervention of saphenous vein bypass grafts (SVGs; class I, level of evidence B). Practice patterns indicate that 21% of SVG interventions are performed with EPDs. Despite a single randomized trial that demonstrated efficacy for EPDs, other studies suggest that the benefits of EPDs are controversial. Consideration should be given toward performing a contemporary EPD trial to incorporate new technologies and pharmacotherapies; in the meantime, guideline recommendations for use of EPDs should be downgraded.

PMID:
27400638
DOI:
10.1002/ccd.26638
[PubMed - in process]
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