Complex PCI after bypass grafts failure

The recurrence of ischemic events in patients with prior coronary artery bypass graft surgery (CABG) is an actual and challenging problem. Advances in surgical techniques and intensive care treatment have decreased the short-term mortality after CABG. Nevertheless, the increase in age and comorbidities of patients referred for CABG impacts the likelihood of graft degeneration or graft failure. More patients are referred to the cardiologist after CABG for the recurrence of symptoms. Particularities in the diagnosis and treatment of these patients need to be considered by the interventional cardiologist to ensure good angiographic and clinical results.