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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

Usefulness of embolic protection devices during saphenous vein graft intervention in a nonselected population

Leslie A Webb1, Simon R Dixon, Robert D Safian

  • 1William Beaumont Hospital, Royal Oak, Michigan 48073, USA.

Journal of Interventional Cardiology
|May 11, 2005
PubMed

Insights

Distal embolic protection devices aid saphenous vein graft interventions. However, anatomical limitations exist, with 77% of analyzed cases suitable for embolic protection systems.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Distal embolic protection devices (DEPDs) minimize complications during saphenous vein graft (SVG) interventions.
  • Anatomical constraints can limit the routine application of DEPDs.

Purpose of the Study:

  • To assess the eligibility of SVG interventions for proximal or distal embolic protection systems (EPS).
  • To identify anatomical and lesion-related factors influencing EPS suitability.

Main Methods:

  • Retrospective analysis of angiograms from 624 consecutive SVG interventions.
  • Evaluation of case eligibility for proximal and distal EPS based on anatomical and lesion characteristics.

Main Results:

  • Overall, 483 (77%) of SVG interventions were deemed suitable for an embolic protection device.
  • Eligibility for proximal EPS was observed in 59% of cases.
  • Eligibility for distal EPS was noted in 57% of cases.

Conclusions:

  • A significant majority of saphenous vein graft interventions are anatomically suitable for embolic protection systems.
  • Proximal and distal embolic protection systems demonstrate comparable eligibility rates in SVG interventions.

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