Flow Patterns in Externally Stented Saphenous Vein Grafts as Related to the Development of Intimal Hyperplasia Tomer Meirson BSc, Eyal Orion MD MBA, Carlo.

Slides:



Advertisements
Similar presentations
RECOMMENDATIONS Canadian Cardiovascular Society Anti Platelet Guideline 2010 Alan D. Bell, MD, CCFP; Raymond Cartier, MD; Wee Shian Chan, MD, FRCP; James.
Advertisements

RENOVA: A Multicenter, Randomized, Controlled Clinical Study of an Endovascular Stent Graft vs. PTA: 12-Month Interim Results *On Behalf of the RENOVA.
HELICAL STE NTS C.G.Caro Department of Bioengineering Imperial College.
Distal Protection: PRIDE, CAPTIVE Symbiot III, AiMI Dr James Cotton MD MRCP Heart and Lung Centre Wolverhampton.
Chaim Lotan MD, Yaron Almagor MD, Karel Kuiper MD, M.J. Suttorp MD, William Wijns MD The SICTO Study CYPHER TM Sirolimus-eluting stent in Chronic Total.
Proximal Protection during Saphenous Vein Graft Intervention using the Proxis™ Embolic Protection System The PROXIMAL Trial Laura Mauri, MD, MSc, FACC,
Configurations of Arterial Grafts : When to use a SV Graft
Global Advisory Board Meeting Case Presentation Georgios I. Papaioannou, MD Athens Medical Center Cardiac Catheterization Laboratory.
LONG-TERM CLINICAL OUTCOMES AFTER REPEAT DRUG-ELUTING STENT IMPLANTATION FOR IN DRUG-ELUTING STENT RESTENOSIS. C. Graidis, D. Dimitriadis, A. Ntatsios,
ISAR-CABG Objective To compare the efficacy of DES with BMS in a randomized trial powered for clinical events Sample 610 patients with de novo SVG lesions.
Complications during percutaneous mechanical thrombectomy in complex bypass occlusion Bruno Migliara, MD, PhD Vascular and Endovascular Surgery Department.
Strategies to Improve Inadequate Guide Catheter Support John S Douglas Jr MD S Tanveer Rab MD Emory University School of Medicine Atlanta Georgia Sunday.
CABG IN DIABETICS DR. SEYED SAEED FARZAM. Introduction Patients with diabetes mellitus Increased incidence of CAD More extensive disease at angiography.
Summary and Conclusion
The Winking Saphenous Vein Graft: Acute Aorto-Vein Graft Anastomotic Torsional Kink causing Dynamic Systolic Compression Complicating Vein Graft PCI Dr.
Journal of the American Society of Echocardiography 
Volume 79, Issue 5, Pages (May 1981)
Keith B Allen, MD, Carl J Shaar, PhD  The Annals of Thoracic Surgery 
Mark F. Fillinger, MD, Emanuel R. Reinitz, MD, Robert A
Configurations of Arterial Grafts:
Preface Heart Failure Clinics
Oral Candidosis in Community-Based Patients with Advanced Cancer
Superficial femoral artery nitinol stent in a patient with nickel allergy  Prasad Jetty, MD, FRCSC, MSc, Srinidhi Jayaram, MD, John Veinot, MD, Melanie.
Jeffrey E. Hull, MD, Boris V. Balakin, PhD, Brad M
Catheter-based infrared light scanner as a tool to assess conduit quality in coronary artery bypass surgery  Nicholas Burris, BS, Kimberly Schwartz, RNFA,
Vascular adaptation of the internal thoracic artery graft early and late after bypass surgery  Beat H. Walpoth, MD, Markus Schmid, MD, Anna Schwab, MD,
Remodeling leads to distinctly more intimal hyperplasia in coronary than in infrainguinal vein grafts  Peter Zilla, MD, PhD, Loven Moodley, MBBS, FCS,
Sensitive Troponin Assay and the Classification of Myocardial Infarction  Anoop S.V. Shah, MD, David A. McAllister, MD, Rosamund Mills, MD, Kuan Ken Lee,
Comparison of fractional flow reserve of composite Y-grafts with saphenous vein or right internal thoracic arteries  David Glineur, MD, Munir Boodhwani,
Flow patterns in externally stented saphenous vein grafts and development of intimal hyperplasia  Tomer Meirson, BS, Eyal Orion, MD, MBA, Carlo Di Mario,
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.
Joseph F. Sabik, MD, Bruce W. Lytle, MD, Eugene H
Angiographic predictors of 3-year patency of bypass grafts implanted on the right coronary artery system: A prospective randomized comparison of gastroepiploic.
Radial artery as conduit for distal renal artery reconstruction
Hemodynamic conditions in a failing peripheral artery bypass graft
Christopher D. Owens, MD, MSc  Journal of Vascular Surgery 
Christopher D. Owens, MD, MSc, Nicole Wake, BS, RVT, Michael S
Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms  Giovanni Torsello, MD, Dierk Scheinert,
Christopher D. Owens, MD, MSc  Journal of Vascular Surgery 
A randomized comparison of the Saphenous Vein Versus Right Internal Thoracic Artery as a Y-Composite Graft (SAVE RITA) trial: Early results  Ho Young.
Ho Young Hwang, MD, Jun Sung Kim, MD, Ki-Bong Kim, MD, PhD 
Xerostomia in Patients with Advanced Cancer
Perioperative Patency of Coronary Artery Bypass Grafting is Not Influenced by Off- Pump Technique  Francesco Onorati, MD, Silvio Olivito, MD, Pasquale.
Off-pump versus on-pump coronary artery bypass grafting: Insights from the Arterial Revascularization Trial  Umberto Benedetto, MD, PhD, Douglas G. Altman,
Total occlusion and string sign of radial artery versus saphenous vein graft conduits: An updated meta-analysis  Hisato Takagi, MD, PhD, Masafumi Matsui,
Particle hemodynamics analysis of Miller cuff arterial anastomosis
Flow reversal promotes intimal thickening in vein grafts
Stenting of proximal venous obstructions to maintain hemodialysis access  Richard Shoenfeld, MD, Howard Hermans, MD, Andrew Novick, MD, Bruce Brener, MD,
Volume 9, Issue 6, Pages (June 2005)
Richard J. Fowl, MD, Kevin D. Martin, MD, Harry C. Sax, MD, Richard F
Masson's tumor in the ulnar artery
The Annals of Thoracic Surgery
Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Patients with Diabetes Mellitus  Yanai Ben-Gal, MD, Yaron Moshkovitz, MD, Nachum Nesher,
T. V. How, PhD, C. S. Rowe, PhD, G. L. Gilling-Smith, MS, FRCS, P. L
Preliminary experience with a novel intraoperative fluorescence imaging technique to evaluate the patency of bypass grafts in total arterial revascularization 
Examination of near-wall hemodynamic parameters in the renal bridging stent of various stent graft configurations for repairing visceral branched aortic.
C Lauder, MBChB, A Kelly, BSc, M. M Thompson, MD, FRCS, N. J
Evaluation of a novel sutureless anastomotic connector: From endothelial function to mid-term clinical and angiographic follow-up  Subodh Verma, MD, PhD,
Meta-analysis of femoropopliteal bypass grafts for lower extremity arterial insufficiency  Carlos Eduardo Pereira, MD, Maximiano Albers, MD, PhD, Marcello.
Endoscopic and traditional saphenous vein harvest: a histologic comparison  Gary L Griffith, MD, Keith B Allen, MD, Bruce F Waller, MD, David A Heimansohn,
Zeljko S. Radic, MD, Martin K. O'Donohoe, MB, FRCSI, Lewis B
Histopathology of the Longest-Lived Saphenous Vein Graft in a Patient With Kawasaki Disease  Satoru Domoto, MD, Kiyoharu Nakano, MD, Kojiro Kodera, MD,
Graft to Coronary Artery Shunt During Off-Pump Coronary Artery Bypass Grafting  Hiroshi Iida, MD, PhD, Hideaki Mori, MD, PhD, Yoshio Sudo, MD, PhD, Yasuyuki.
Kyle M. Hocking, BE, Colleen Brophy, MD, Syed Z
Timing and frequency of complications after carotid artery stenting: what is the optimal period of observation?  Kong T Tan, FRCS, FRCR, Trevor J Cleveland,
A, Oblique posttraumatic angiogram of a left cavernous ICA aneurysm
Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD 
Flow Capacity of Gastroepiploic Artery Versus Vein Grafts for Intermediate Coronary Artery Stenosis  Tsuyoshi Shimizu, MD, PhD, Hiroyuki Suesada, MD,
Christopher K. Zarins, M. D. , Michael A. Zatina, M. D. , Don P
Early biomechanical changes in lower extremity vein grafts—distinct temporal phases of remodeling and wall stiffness  Christopher D. Owens, MD, Nicole.
Presentation transcript:

Flow Patterns in Externally Stented Saphenous Vein Grafts as Related to the Development of Intimal Hyperplasia Tomer Meirson BSc, Eyal Orion MD MBA, Carlo Di Mario MD PhD FESC FACC, Carolyn Webb PhD, Niket Patel MD MRCP, Keith M. Channon MD FRCP FMedSci, Yanai Ben Gal MD, David P. Taggart MD PhD FRCS Eyal Orion, MD AATS 2015, Seattle, WA

Disclosure  Vascular Graft Solutions (VGS): CEO, Co-inventor  Laminate Medical Technologies: Inventor, Board member  Vectorious Medical Technologies: Co-inventor, Board member  Perflow Medical: Board member  Bodyvision Medical Technologies: Board member

Athens, Greece

Unsupported SVG’s to RCA 12 Months Post Implantation

VESTed SVG’s to RCA 12 Months Post Implantation

SVG Flow pattern analysis - Methods

Conclusions  External Stenting improves SVG hemodynamics 1 year after CABG  Oscillatory shear stress, unlike average WSS, is correlated with the development of SVG diffuse intimal hyperplasia 1 year after CABG.

Thank You