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Vein graft Intentional Suboptimal Angioplasty with Deferred Stenting in post-CABG patients (the VISA-DS approach) Volume 34, issue 6, November-December 2022

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Author
1 Aswan University, cardiology department, Sahari, Airport way 81528, Aswan, Egypt <mansour.hossam@gmail.com>
2 As-Salam international hospital, cardiology department, Corniche El Nile Cairo, Egypt
* Reprints: M. Hossam

Post-coronary bypass graft intervention is not uncommon due to vein graft failure. Angioplasty of the vein graft during acute events is troublesome due to its thrombotic nature. Our new VISA-DS approach (Vein graft Intentional Suboptimal Angioplasty with Deferred Stenting) in NSTEMI post-CABG patients depends on dealing with the thrombotic nature of the venous graft by managing the acute stage through suboptimal angioplasty to restore the flow then deferring stenting after three months of optimal triple therapy with conventional dual antiplatelet therapy in addition to novel oral anticoagulant to target the actual stenotic lesion of the venous graft.