Ischemic events after coronary artery bypass grafting: when to treat interventionally, medically or surgically?

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Review outlines revascularization options for prior CABG patients with ischemia, highlighting surgical and intervention choices.

Revascularization in patients with prior CABG remains high risk, requiring careful consideration of intervention types.
Recent studies show improvements in surgical and interventional outcomes for ischemic patients post-CABG, though risk remains.
The preferred intervention often depends on clinical presentation and coronary anatomy, stressing the importance of tailored approaches.
Percutaneous coronary intervention is generally favored over vein-graft PCI when feasible, improving success rates for native-vessel treatment.

Bernstein et al. (2025) studied this question.

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