TY - JOUR JO - EuroIntervention TI - Management of myocardial revascularisation failure: an expert consensus document of the EAPCI AB - <p>Myocardial revascularisation represents the most frequently performed therapeutic intervention worldwide. Current percutaneous and surgical revascularisation techniques provide excellent short- and long-term clinical outcomes. However, despite the technological and procedural advances with the widespread use of drug-eluting stents and arterial bypass grafts in contemporary practice, a considerable proportion of patients require repeat revascularisation procedures during long-term follow-up. The need for repeat revascularisation has a major impact on patients&rsquo; quality of life and is associated with a significant economic burden. This consensus document summarises the views on the management of myocardial revascularisation failure of an expert panel of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). The present document provides a broad and pragmatic overview of the clinical management of myocardial revascularisation failure with a focus on the three key underlying mechanisms leading to repeat revascularisation: 1) failure of percutaneous coronary interventions, 2) failure of coronary artery bypass grafting, and 3) progression of coronary artery disease in native coronary segments previously untreated. The aim of the present position document is to provide a patient-oriented approach for the management of myocardial revascularisation failure.</p> AU - Stefanini G. Giulio AU - Alfonso Fernando AU - Barbato Emanuele AU - Byrne Robert A. AU - Capodanno Davide AU - Colleran Róisín AU - Escaned Javier AU - Giacoppo Daniele AU - Kunadian Vijay AU - Lansky Alexandra J. AU - Mehilli Julinda AU - Neumann Franz-Josef AU - Regazzoli Damiano AU - Sanchez Z. Jorge AU - Wijns William AU - Baumbach Andreas VL - 16 IS - 11 Y1 - 04/12/2020 Y1 - 2020 DOI - 10.4244/EIJ-D-20-00487 SP - e875 EP - e890 KW - stent thrombosis KW - prior pci KW - in-stent restenosis KW - multidisciplinary Heart Team KW - prior cardiovascular surgery KW - saphenous vein graft PB - Europa Digital & Publishing SE - Coronary interventions UR - https://eurointervention.pcronline.com/article/management-of-myocardial-revascularization-failure-an-expert-consensus-document-of-the-eapci SN - 1774-024X ER -