No difference in outcome was observed in patients presenting either <10 or >10 years after CABG. ...time from CABG does not affect outcome in patients with prior CABG treated with primary PCI for STEMI due to SVG occlusion. ...the large thrombotic burden markedly complicates the recanalisation of an occluded SVG. ...of graft age, mechanical reperfusion is often complicated by distal embolisation and no reflow, which is associated with a higher short- and long-term mortality. 1- 3 In elective patients with PCI treated for SVG disease, the Saphenous vein-graft Angiopathy Free of Emboli Randomized Trial showed significant improvement of angiographic outcome (TIMI 3 flow and no reflow), resulting in a reduction in myocardial infarctions, with the use of a distal embolic protection device compared with standard techniques. 5 Interestingly, a substudy of this trial showed that SVG age was not a predictor of clinical outcome, as in our study on patients with STEMI.