Related Experiment Video
Updated: Mar 1, 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
9.3K
Saphenous Vein Graft Interventions
Michael S Lee1, Gopi Manthripragada1
1Cardiology Division, Department of Medicine, 100 Medical Plaza, Suite 630, Los Angeles, CA 90095, USA.
Interventional Cardiology Clinics
|June 6, 2017
Summary
Percutaneous coronary revascularization of saphenous vein grafts requires specific techniques. Tailored patient selection, lesion modification, and embolic protection optimize outcomes and minimize complications like no-reflow.
Area of Science:
- Cardiovascular Interventions
- Vascular Surgery
Background:
- Saphenous vein grafts (SVGs) are crucial for coronary artery bypass grafting but prone to stenosis.
- Interventions on SVGs represent a specialized area within percutaneous coronary revascularization.
Purpose of the Study:
- To outline best practices for percutaneous interventions in saphenous vein grafts.
- To emphasize the need for tailored approaches due to unique SVG biology.
Main Methods:
- Review of current literature and emerging therapies for SVG interventions.
- Discussion of patient and lesion selection criteria.
- Emphasis on modified intervention techniques and adjunctive therapies.
Main Results:
- Specific techniques are necessary for successful SVG angioplasty and stenting.
- Embolic protection devices and pharmacology can reduce periprocedural complications.
- The no-reflow phenomenon is a key complication to manage.
Conclusions:
- Optimizing outcomes in SVG interventions requires careful patient and lesion assessment.
- Modified techniques, embolic protection, and pharmacology are essential for minimizing complications.
- Best practices for SVG interventions are continually evolving with new research.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
480
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...
480
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
258
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...
258
01:30Venous Thrombosis IV: Nursing Management
324
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
324
01:29Venous Thrombosis III: Interprofessional Care
423
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
423
01:25Hemodialysis I: Introduction
2.3K
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...
2.3K
01:22Aneurysm IV: Nursing Management
543
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
543