Use of the eSVS Mesh: external vein support does not negatively impact early graft patency

Innovations (Phila). 2013 May-Jun;8(3):211-4. doi: 10.1097/IMI.0b013e3182a326ed.

Abstract

Objective: The aim of this study was to assess early graft patency in eSVS Mesh-covered saphenous vein grafts (SVGs) in patients undergoing coronary artery bypass grafting.

Methods: In 20 patients meeting criteria for double arterial grafting to the left-sided coronary system and eSVS Mesh-covered SVG to the right-sided coronary system, patency was evaluated intraoperatively by transit time flow measurement and at 5 days postoperatively by computed tomographic angiography.

Results: Twenty patients underwent 49 arterial and 22 venous grafts (mean, 3.55/patient) using off-pump techniques. All grafts were determined to be patent intraoperatively. On computed tomographic angiography, arterial graft patency was 100%. In one venous anastomosis, the distal limb of a sequential graft was occluded, for an overall patency rate of 95%.

Conclusions: The eSVS Mesh does not compromise early SVG patency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Coronary Angiography / methods
  • Coronary Artery Bypass / instrumentation
  • Coronary Artery Bypass / methods*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Female
  • Humans
  • Intraoperative Period
  • Male
  • Saphenous Vein / surgery
  • Surgical Mesh*
  • Vascular Patency