A Randomized Trial of External Stenting for Saphenous Vein Grafts in Coronary Artery Bypass Grafting David P. Taggart, MD, PhD, Yanai Ben Gal, MD, Belinda.

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Presentation transcript:

A Randomized Trial of External Stenting for Saphenous Vein Grafts in Coronary Artery Bypass Grafting David P. Taggart, MD, PhD, Yanai Ben Gal, MD, Belinda Lees, PhD, Niket Patel, MD, Carolyn Webb, PhD, Syed M. Rehman, MD, Anthony Desouza, MD, Rashmi Yadav, MD, Fabio De Robertis, MD, Miles Dalby, MD, Adrian Banning, MD, Keith M. Channon, MD, Carlo Di Mario, MD, Eyal Orion, MD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 2039-2045 (June 2015) DOI: 10.1016/j.athoracsur.2015.01.060 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Venous external stent (VEST) implantation procedure. (A) Threading on saphenous vein graft (SVG). (B) Suturing SVG proximal anastomosis. (C) Expanding VEST over the entire SVG length. The Annals of Thoracic Surgery 2015 99, 2039-2045DOI: (10.1016/j.athoracsur.2015.01.060) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Contrast angiography at 12 months of nonstented saphenous vein graft (SVG) to the (A, B) right territories and (C, D) left territories, and stented SVG to the (E, F) right territories and (G, H) left territories. The Annals of Thoracic Surgery 2015 99, 2039-2045DOI: (10.1016/j.athoracsur.2015.01.060) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Stented saphenous vein graft (SVG) to the right coronary artery. (A) Metal clips (white arrows) were used to ligate the SVG side branches. (B) Contrast angiography demonstrates SVG displacement (red arrow) and stenosis at the SVG acute angulation (yellow arrow) where metal clips are present. The Annals of Thoracic Surgery 2015 99, 2039-2045DOI: (10.1016/j.athoracsur.2015.01.060) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions