Download PDF
Thorac Cardiovasc Surg 2016; 64(03): 236-238
DOI: 10.1055/s-0035-1556083
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Validation of an External Support for Coronary Artery Saphenous Vein Grafts without Fibrin Sealant

Grzegorz Suwalski
1   Department of Cardiac Surgery, Military Institute of Medicine, Central Clinical Hospital, Warsaw, Poland
,
Robert W. Emery
2   Division of Cardiovascular Surgery, St. Joseph's Hospital, St. Paul, Minnesota, United States
› Author Affiliations
Further Information

Publication History

13 April 2015

13 May 2015

Publication Date:
10 July 2015 (online)

    Permissions and Reprints All articles of this category

Abstract

Background The aim of the study is to report on a new technique for applying the eSVS Mesh (Kips Bay Medical, Minneapolis, Minnesota, United States), an external saphenous vein support system, without the use of fibrin sealant.

Methods The mesh covers the entire body of the graft with the exception of both anastomoses. Fibrin sealant was not used to fix the mesh. Two patients underwent surgery using this preparation.

Evaluation At 4 weeks, computed tomographic angiography revealed no signs of mesh compression at either anastomotic area. The proximal anastomosis inflow diameter was greater than the diameter of the mesh-supported body of the graft.

Conclusion This technique successfully eliminates the need for the use of sealant and supports favorable anastomotic geometry.

Keywords

eSVS mesh - vein graft patency - operative technique
 

  • References

  • 1 Mohr FW, Morice MC, Kappetein AP , et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet 2013; 381 (9867) 629-638
    CrossrefPubMedGoogle Scholar
  • 2 Smith T, Kloppenburg GTL, Morshuis WJ. Does the use of bilateral mammary artery grafts compared with the use of a single mammary artery graft offer a long-term survival benefit in patients undergoing coronary artery bypass surgery?. Interact Cardiovasc Thorac Surg 2014; 18 (1) 96-101
    CrossrefPubMedGoogle Scholar
  • 3 Wong AP, Nili N, Jackson ZS , et al. Expansive remodeling in venous bypass grafts: novel implications for vein graft disease. Atherosclerosis 2008; 196 (2) 580-589
    CrossrefPubMedGoogle Scholar
  • 4 Moodley L, Franz T, Human P , et al. Protective constriction of coronary vein grafts with knitted nitinol. Eur J Cardiothorac Surg 2013; 44 (1) 64-71
    CrossrefPubMedGoogle Scholar
  • 5 Emery RW, Solien E, Klima U. Clinical evaluation of the eSVS Mesh: first-in-man trial outcomes. ASAIO J 2015; 61 (2) 178-183
    CrossrefPubMedGoogle Scholar
  • 6 Rescigno G, Aratari C, Matteucci SM , et al. Saphenous vein graft wrapping by nitinol mesh: a word of caution. Thorac Cardiovasc Surg 2015; 63 (4) 292-297
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Emery RW, Solien E, Jamieson SW. Implantation of the eSVS Mesh. Innovations (Phila) 2012; 7 (1) 65-67
    CrossrefPubMedGoogle Scholar
  • 8 Emery RW, Solien E, Puskas JD. Implantation of the ESVS Mesh: modification of the eSVS Mesh: modification of the recommended technique. Innov (Camb, Mass) 2015; 10: 146-149
    PubMedGoogle Scholar