{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T13:08:58Z","timestamp":1745845738014,"version":"3.37.3"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100005971","name":"German Heart Foundation","doi-asserted-by":"publisher","award":["F\/22\/12"],"award-info":[{"award-number":["F\/22\/12"]}],"id":[{"id":"10.13039\/501100005971","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Rh\u00f6n Klinikum AG corporate funding","award":["12\/2014"],"award-info":[{"award-number":["12\/2014"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>There is an ongoing discussion about how to treat coronary stents during bypass surgery: Should patent stents be left alone and the stented vessels be ungrafted, or should every stented coronary artery receive a bypass graft? This study aims to determine the relevance of perioperative stent stenosis or occlusion on postoperative outcomes up to 3\u2009years postoperatively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Patients undergoing coronary artery bypass grafting surgery (CABG) (\u00b1concomitant procedures) with previous percutaneous coronary intervention from 4 centres were prospectively included in this observatory study between April 2015 and June 2017. A coronary angiography was conducted between the fifth and seventh postoperative days. The preoperative and postoperative angiograms were assessed in a core laboratory, assessing the patencies of coronary stents and bypass grafts. The core lab investigators were blinded to the patients\u2019 characteristics and perioperative course.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 107 patients were included in the study. In the postoperative coronary angiography, 265 bypass grafts and 189 coronary stents were examined angiographically. Ninety-seven percent of preoperatively patent stents remained patent. New coronary stent stenoses were observed in 5 patients (4.7%). All 5 patients were asymptomatic and managed conservatively. Bypass stenoses were observed in 12 patients (11%), of whom were managed conservatively, 4 underwent percutaneous coronary intervention and 1 underwent redo-CABG. Two years postoperatively, 97% of patients were alive. Patients with new stent stenosis tended to have a better survival compared with patients with bypass stenosis (100% vs 73%; P\u2009=\u20090.09) up to 3 years postoperatively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Perioperative coronary stent stenosis occurs rarely. It is safe to leave a patently stented coronary vessel without bypass grafting.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaa003","type":"journal-article","created":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T20:08:03Z","timestamp":1577995683000},"page":"1122-1129","source":"Crossref","is-referenced-by-count":1,"title":["Risk of perioperative coronary stent stenosis or occlusion in patients with previous percutaneous coronary intervention undergoing coronary artery bypass grafting surgery"],"prefix":"10.1093","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4139-7983","authenticated-orcid":false,"given":"Philippe","family":"Grieshaber","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessens, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina","family":"Oswald","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessens, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2819-2406","authenticated-orcid":false,"given":"Marc","family":"Albert","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Robert-Bosch-Hospital, Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilko","family":"Reents","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt a. d. Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Zacher","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt a. d. Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6460-0799","authenticated-orcid":false,"given":"Peter","family":"Roth","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessens, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4431-7002","authenticated-orcid":false,"given":"Bernd","family":"Niemann","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessens, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"D\u00f6rr","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, University Hospital Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Kr\u00fcger","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University Hospital T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Nef","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, University Hospital Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Sodah","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt a. d. Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Hamm","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, University Hospital Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Schlensak","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University Hospital T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anno","family":"Diegeler","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt a. d. Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Sedding","sequence":"first","affiliation":[{"name":"Division of Cardiology, Angiology and Intensive Medical Care, Department of Internal Medicine III, University Hospital Halle, Halle (Saale), Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Franke","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Robert-Bosch-Hospital, Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Boening","sequence":"first","affiliation":[{"name":"Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessens, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"journal-title":"Eur Heart J [Internet]","article-title":"2018 ESC\/EACTS Guidelines on myocardial 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