{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:07:08Z","timestamp":1792724828696,"version":"4.5.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,2,6]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Percutaneous coronary intervention (\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              ) in patients with previous coronary artery bypass grafting (\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              ) is associated with adverse clinical events. Although newer generation drug\u2010eluting stents showed favorable short\u2010term safety profiles, there is a lack of long\u2010term outcome data. We evaluated the impact of previous\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              on 5\u2010year clinical outcomes of patients treated with\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              using newer\u2010generation drug\u2010eluting stents.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In this patient\u2010level pooled analysis of the prospective TWENTE (The Real\u2010World Endeavor Resolute versus Xience V Drug\u2010Eluting Stent Study in Twente) trial and nonenrolled\n              <jats:styled-content style=\"fixed-case\">TWENTE<\/jats:styled-content>\n              registry, we assessed a consecutive series of patients who underwent\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              with newer\u2010generation drug\u2010eluting stents for non\u2013\n              <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n              \u2010segment\u2013elevation acute coronary syndromes or stable angina. Of all 1709 patients, 202 (11.8%) had a history of\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              . Patients with previous\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              had significantly higher 5\u2010year rates of cardiac death (10.4% versus 4.3%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and target vessel revascularization (25.0% versus 8.1%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). These differences remained statistically significant after adjustment for differences in baseline characteristics. Landmark analysis revealed that from 1\u2010 to 5\u2010year follow\u2010up, the rates of cardiac death (8.1% versus 3.2%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and target vessel revascularization (17.1% versus 5.9%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) were significantly higher in patients with previous\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              . Among patients with a history of\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              ,\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              of an obstructed vein graft was associated with a higher rate of 5\u2010year target vessel revascularization (\n              <jats:italic>P<\/jats:italic>\n              =0.003).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              At 5\u2010year follow\u2010up after\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              with newer\u2010generation drug\u2010eluting stents, the risk of cardiac death and target vessel revascularization was significantly higher in patients with previous\n              <jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>\n              . The target vessel revascularization rate was highest in patients who underwent\n              <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content>\n              of obstructed vein grafts.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.117.007212","type":"journal-article","created":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T01:10:21Z","timestamp":1517361021000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010Term Outcome of Consecutive Patients With Previous Coronary Bypass Surgery, Treated With Newer\u2010Generation Drug\u2010Eluting Stents"],"prefix":"10.1161","volume":"7","author":[{"given":"Liefke C.","family":"van der Heijden","sequence":"first","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlies M.","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Zocca","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanim","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marije M.","family":"L\u00f6wik","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Mariani","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frits H. A. F.","family":"de Man","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin G.","family":"Stoel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Gert","family":"van Houwelingen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. (Hans) W.","family":"Louwerenburg","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard C. M.","family":"Linssen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuisgroep Twente, Almelo and Hengelo, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carine J. 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