Invited commentary

Abstract

Gaudino and colleagues [1] have made an interesting and provocative observation that saphenous vein grafts (SVGs) fare poorly in patients undergoing coronary bypass grafting (CABG) after failed intracoronary stents. They hypothesize that patients with in-stent stenosis have an aggressive atherosclerotic disorder that prejudices the fate of both the stent and a subsequent vulnerable vein bypass compared with the internal mammary artery (IMA) or other arterial conduit.