Saphenous vein graft

Favalaro RG. Saphenous vein graft in the surgical treatment of coronary artery disease operative technique. J Thorac Cariovasc Surg 1969 58 178. 

Silva JA, White CJ, Collins TJ, et al. Morphologic comparison of atherosclerotic lesions in native coronary arteries and saphenous vein grafts with intracoronary angioscopy in patients with unstable angina. Am Heart J 1998 136 156-163. 

Van Langenhove G, Vermeersch P Serrano P et al. Saphenous vein graft disease treated with the Wiktor Hepamed stent procedural outcome, in-hospital complications and six-month angiographic follow-up, Can J Cardiol 2000 I 6(4) 473—480. 

Since these original studies, there have been numerous clinical randomized trials and prospective registries detailing the efficacy of ICB as an adjunctive therapy for de novo native coronary or sapheneous vein graft lesions treated with balloon angioplasty and/or stent implantation (Table I), The... 

Castagna MT, Mintz GS, Waksman R, et al, Comparitive efficacy of gamma-irradition for treatment of in-stent restenosis in sapheneous vein graft versus native coronary artery in-stent restenosis. Circulation 2001 104 3020-3022. 

Photodynamic therapy seems to offer broad applicability as either an adjunct to other endovascular procedures or as a means to treat de novo disease. At this juncture enough is known to imagine its potential without yet knowing its limitations. PDT could be an exciting tool for the emerging specialty of endovascular therapy, with potential applications in the heart, peripheral arteries, saphenous vein grafts, and arteriovenous grafts. 

Goldman S, Copeland J, Moritz T, Hendo-sonW, Zadina K, Ovitt T, Doherty J, ReadR, ChederE. Sako Y Improvement in early saphenous vein graft patency after coronary artery bypass surgery with antiplatelet therapy Results of a Veterans Admin-istration Cooperative Study. Circulation 22 1324,1988... 

K.-H. Mak, R. Challapalli, M. J. Eisenberg, K. M. Anderson, R. M. Califf and E. J. Topol, Effect of platelet glycoprotein Ilb/Illa receptor inhibition on distal embolization during percutaneous revascularization of aortocoronary saphenous vein grafts, Am J Cardiol 80,985-988 (1997). 

Following the introduction of saphenous vein graft replacement for the severely occluded coronary arteries by Favorolo and Garrett in 1967, coronary artery bypass grafting (CABG) became an accepted and commonly used approach for the management of IHD. The... 

Lesion characteristics such as diffuse disease, medium to small vessel diameter (<3.0 mm), ostial lesions, in-stent restenosis, and saphenous vein grafts. 

Remodeling of autologous saphenous vein graft interposed into porcine carotid artery involves fibroblast infiltration from the adventitia... 

Shi Y, O Brien JE, Mannion JD, Morrison RC, Chung W, Fard A, Zalewski A (1997) Remodeling of autologous saphenous vein grafts. The role of perivascular myofibroblasts. Circulation 95 2684-2693... 

Nguyen TT, O Neill WW, Grines CL, et al. One-year survival in patients with acnte myocardial infarction and a saphenous vein graft culprit treated by primary angioplasty. Am J Cardiol 2003 91 1250-1254. 

Autograft Graft transplanted firom part of a patient s body to another Example saphenous vein graft for peripheral bypass... 

Figure 3.1 Surgical preparation of a saphenous vein graft. Several areas of potential injury of the vein can be noted, including pressure distention of the vein to look for leaks, injection of a cold saline solution, and exposure to the cold environment of the operating room.

Fig. 16.3. Residual plaque in a patient with Peyronie s disease who had undergone saphenous vein grafting. The patch (arrowheads) appears less echogenic than the adjacent tunica albuginea. Sutures are visible as hyperechogenic dots. The residual plaque (open arrows) is visible as a localized thickening of the tunica albuginea with a coarse calcification...

Fig. 21.10a,b. CTA of coronary bypass grafts, a Cross-sectional image of a patent saphenous vein graft (arrows) exhibiting severe calcified wall changes. Data of another patient (b) who presented with acute chest pain shows two venous grafts, with thrombus formation (small arrows) and total occlusion of one graft (arrowhead)... 

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