Related Experiment Video
Updated: Jul 14, 2026
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
Percutaneous saphenous vein graft intervention--a review
Martin Hiscock1, Ernesto Oqueli, Ron Dick
1Epworth Hospital, Richmond, Melbourne, Victoria 3121, Australia. martinhiscock@hotmail.com
Heart, Lung & Circulation
|July 4, 2007
Summary
Stenting saphenous vein grafts (SVGs) with drug-eluting stents (DES) and embolic protection devices (EPDs) offers an alternative to repeat bypass surgery. However, challenges like embolization and restenosis require further research for improved outcomes.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Biology
Background:
- Repeat coronary artery bypass graft (CABG) surgery poses significant risks.
- Saphenous vein grafts (SVGs) are prone to disease progression and failure over time.
- Percutaneous intervention is an alternative to repeat CABG, but faces challenges.
Purpose of the Study:
- To review the challenges associated with stenting stenotic saphenous vein grafts (SVGs).
- To discuss the role of drug-eluting stents (DES) and embolic protection devices (EPDs) in SVG intervention.
- To explore future directions for improving outcomes in SVG percutaneous intervention.
Main Methods:
- Literature review focusing on SVG disease, percutaneous intervention with EPDs, and associated complications.
- Analysis of current strategies for managing stenotic SVGs.
- Examination of factors contributing to procedural complications and long-term recurrence.
Main Results:
- Stenting SVGs with DES and EPDs is a potential optimal treatment but faces challenges.
- Distal embolization and restenosis are significant complications.
- These complications can lead to peri-procedural myocardial infarction and target vessel failure.
Conclusions:
- Percutaneous intervention for SVG disease requires careful consideration of risks and benefits.
- Further research is needed to optimize embolic protection strategies and stent selection.
- Developing improved techniques is crucial to reduce complication rates and enhance long-term efficacy.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:26Varicose Veins I: Introduction
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...