OVERVIEW

Update on Cardiac Catheterization in Patients With Prior Coronary Artery Bypass Graft Surgery (JACC: Cardiovascular Interventions September 2019) is organized by American College of Cardiology (ACC).

Date of Release: September 2, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: September 1, 2020

Target Audience:
JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Credit Offered:
• 1 CME Credit
• 1 ECME Credit
• 1 MOC Credit

Description:
Patients who undergo coronary bypass graft surgery (CABG) often require subsequent cardiac catheterization and repeat coronary revascularization. Physiologic assessment of saphenous vein graft lesions is limited due to rapid progression of intermediate lesions.

Learning Objectives:
After reading this article the reader should be able to:
• Discuss optimal vascular access for patients with prior coronary artery bypass graft (CABG).
• Describe strategies to prevent and treat distal embolization.
• Compare the outcomes of drug-eluting stents versus bare-metal stents in saphenous vein graft percutaneous coronary intervention (PCI).
• Discuss the optimal treatment strategy for acute graft failure.
• Select the optimal method of revascularization in patients with prior CABG.
• Decide between native vessel versus graft PCI in patients with prior CABG.