Saphenous vein graft: Difference between revisions

Jump to navigation Jump to search
mNo edit summary
mNo edit summary
Line 16: Line 16:
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; Jason C. Choi, M.D.; Xin Yang, M.D.
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; Jason C. Choi, M.D.; Xin Yang, M.D.


==Overview==
==[[Overview]]==


Since Rene Favaloro first described it in 1967, coronary artery revascularization with [[saphenous vein]]s (saphenous vein grafts or SVGs) has become a surgical standard for treatment of [[coronary artery disease]]. When a native [[coronary artery]] is obstructed, the sutured graft provides a connection between the [[aorta]] and the [[coronary artery]] beyond the area of obstruction. The procedure is repeated on all the [[coronary artery]] segments that are significantly diseased.
==[[Saphenous vein graft anatomy|SVG Anatomy]]==


The vein is often removed by [[cardiac surgeon]]s and used for [[autotransplantation]] in [[Coronary artery bypass surgery|coronary artery bypass operation]]s, when arterial grafts are not available or many grafts are required, such as in a [[triple bypass]] or [[quadruple bypass]].
==[[Saphenous Vein Graft Harvesting|SVG Harvesting]]==


==[[SVG Anatomy]]==
==[[Saphenous Vein Graft Nomenclature|Nomenclature]]==


==[[Saphenous Vein Graft Harvesting]]==
==[[Pathophysiology of Saphenous Vein Graft Disease|Pathophysiology]]==
 
==[[Saphenous Vein Graft Nomenclature]]==


==[[Assessment of Target Vessels for Saphenous Vein Grafting]]==
==[[Assessment of Target Vessels for Saphenous Vein Grafting]]==


==[[Pathophysiology of Saphenous Vein Graft Disease]]==
==Diagnosis and Evaluation of SVG Disease==
 
==Saphenous Vein Graft Failure and Patency==


===[[Definition of Saphenous Vein Graft Failure]]===
=====[[Symptoms of SVG Occlusion|Symptoms]]=====


===[[Historical Rates of Saphenous Vein Graft Failure]]===
=====[[Chest X-Ray in the Patient with Saphenous Vein Grafts|Chest X-Ray]]=====


===[[Determinants of Sapheous Vein Graft Patency]]===
=====[[Coronary Angiography]]=====


===[[Saphenous vein graft failure as a Surrogate Endpoint in Clinical Trials]]===
=====[[CT Angiography in the Assessment of Saphenous Vein Graft Disease|CT Angiography]]=====


==Diagnosis and Evaluation of SVG Disease==
=====[[Saphenous Vein Graft Pathology|Pathology]]=====


===[[Symptoms of SVG Occlusion]]===
==Saphenous Vein Graft Failure and Patency==


===[[Chest X-Ray in the Patient with Saphenous Vein Grafts]]===
=====[[Definition of Saphenous Vein Graft Failure]]=====


===[[Coronary Angiography]]===
=====[[Historical Rates of Saphenous Vein Graft Failure]]=====


===[[CT Angiography in the Assessment of Saphenous Vein Graft Disease]]===
=====[[Determinants of Sapheous Vein Graft Patency]]=====


===[[Saphenous Vein Graft Pathology]]===
=====[[Saphenous vein graft failure as a Surrogate Endpoint in Clinical Trials]]=====


==Treatment of Saphenous Vein Graft Disease==
==[[Treatment of Saphenous Vein Graft Disease|Treatment]]==
===[[Treatment of Saphenous Vein Graft Disease]]===


==Clinical Trials==
==Clinical Trials==
Line 76: Line 71:
* [http://clinicaltrials.gov/ct2/show/NCT00777777 The eSVS (TM) Mesh External Saphenous Vein Support Trial]
* [http://clinicaltrials.gov/ct2/show/NCT00777777 The eSVS (TM) Mesh External Saphenous Vein Support Trial]


==References==
==Related Chapters==
{{Reflist|2}}
* [[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines]]
* [[CABG]]
* [[Hybrid bypass]]
* [[Off-pump coronary artery bypass surgery|Off-pump coronary artery bypass surgery (OPCAB)]]
* [[Minimally invasive direct coronary artery bypass surgery]] ([[MIDCAB]])


==Additional Resources==
==Additional Resources==
Line 126: Line 125:
{{refend}}
{{refend}}


==Related Chapters==
==References==
 
{{Reflist|2}}
* [[CABG]]
* [[Hybrid bypass]]
* [[Off-pump coronary artery bypass surgery|Off-pump coronary artery bypass surgery (OPCAB)]]
* [[Minimally invasive direct coronary artery bypass surgery]] ([[MIDCAB]])
 
==External Links==
*[http://www.texheartsurgeons.com/ Advances in Cardiovascular Surgery and Cardiothoracic Surgical Procedures]
*[http://www.ctsnet.org/ CTSNet: The Cardiothoracic Surgery Network]
*[http://info.med.yale.edu/intmed/cardio/imaging/ Yale: Introduction to Cardiothoracic Imaging]


{{SIB}}
{{SIB}}

Revision as of 17:36, 15 December 2011

Saphenous vein graft
Saphenous vein grafts for coronary arteries

WikiDoc Resources for Saphenous vein graft

Articles

Most recent articles on Saphenous vein graft

Most cited articles on Saphenous vein graft

Review articles on Saphenous vein graft

Articles on Saphenous vein graft in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Saphenous vein graft

Images of Saphenous vein graft

Photos of Saphenous vein graft

Podcasts & MP3s on Saphenous vein graft

Videos on Saphenous vein graft

Evidence Based Medicine

Cochrane Collaboration on Saphenous vein graft

Bandolier on Saphenous vein graft

TRIP on Saphenous vein graft

Clinical Trials

Ongoing Trials on Saphenous vein graft at Clinical Trials.gov

Trial results on Saphenous vein graft

Clinical Trials on Saphenous vein graft at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Saphenous vein graft

NICE Guidance on Saphenous vein graft

NHS PRODIGY Guidance

FDA on Saphenous vein graft

CDC on Saphenous vein graft

Books

Books on Saphenous vein graft

News

Saphenous vein graft in the news

Be alerted to news on Saphenous vein graft

News trends on Saphenous vein graft

Commentary

Blogs on Saphenous vein graft

Definitions

Definitions of Saphenous vein graft

Patient Resources / Community

Patient resources on Saphenous vein graft

Discussion groups on Saphenous vein graft

Patient Handouts on Saphenous vein graft

Directions to Hospitals Treating Saphenous vein graft

Risk calculators and risk factors for Saphenous vein graft

Healthcare Provider Resources

Symptoms of Saphenous vein graft

Causes & Risk Factors for Saphenous vein graft

Diagnostic studies for Saphenous vein graft

Treatment of Saphenous vein graft

Continuing Medical Education (CME)

CME Programs on Saphenous vein graft

International

Saphenous vein graft en Espanol

Saphenous vein graft en Francais

Business

Saphenous vein graft in the Marketplace

Patents on Saphenous vein graft

Experimental / Informatics

List of terms related to Saphenous vein graft

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Jason C. Choi, M.D.; Xin Yang, M.D.

Overview

SVG Anatomy

SVG Harvesting

Nomenclature

Pathophysiology

Assessment of Target Vessels for Saphenous Vein Grafting

Diagnosis and Evaluation of SVG Disease

Symptoms
Chest X-Ray
Coronary Angiography
CT Angiography
Pathology

Saphenous Vein Graft Failure and Patency

Definition of Saphenous Vein Graft Failure
Historical Rates of Saphenous Vein Graft Failure
Determinants of Sapheous Vein Graft Patency
Saphenous vein graft failure as a Surrogate Endpoint in Clinical Trials

Treatment

Clinical Trials

Related Chapters

Additional Resources

  • S. A. Hassantash, B. Bikdeli, S. Kalantarian, M. Sadeghian, and H. Afshar Pathophysiology of Aortocoronary Saphenous Vein Bypass Graft Disease Asian Cardiovasc Thorac Ann, August 1, 2008; 16(4): 331 - 336.
  • A. Coolong, D. S. Baim, R. E. Kuntz, A. J. O'Malley, S. Marulkar, D. E. Cutlip, J. J. Popma, and L. Mauri. Saphenous Vein Graft Stenting and Major Adverse Cardiac Events: A Predictive Model Derived From a Pooled Analysis of 3958 Patients. Circulation, February 12, 2008; 117(6): 790 - 797.
  • R. F. Padera Jr. and F. J. Schoen. Pathology of Cardiac Surgery Card. Surg. Adult, January 1, 2008; 3(2008): 111 - 178.
  • E. Gongora and T. M. Sundt III. Myocardial Revascularization with Cardiopulmonary Bypass. Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632.
  • P. Widimsky, Z. Straka, P. Stros, K. Jirasek, J. Dvorak, J. Votava, L. Lisa, T. Budesinsky, M. Kolesar, T. Vanek, et al. One-Year Coronary Bypass Graft Patency: A Randomized Comparison Between Off-Pump and On-Pump Surgery Angiographic Results of the PRAGUE-4 Trial Circulation, November 30, 2004; 110 (22): 3418 - 3423.
  • M. A. Hlatky, D. B. Boothroyd, K. A. Melsop, M. M. Brooks, D. B. Mark, B. Pitt, G. S. Reeder, W. J. Rogers, T. J. Ryan, P. L. Whitlow, et al. Medical Costs and Quality of Life 10 to 12 Years After Randomization to Angioplasty or Bypass Surgery for Multivessel Coronary Artery Disease Circulation, October 5, 2004; 110 (14): 1960 - 1966.
  • J. G. Lobo Filho, M. C. d. A. Leitao, and A. J. d. V. Forte Studying the lumen in composite Y internal thoracic artery-saphenous vein grafts J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 490 - 491.
  • E. McGregor, L. Kempster, R. Wait, M. Gosling, M. J. Dunn, and J. T. Powell. F-actin Capping (CapZ) and Other Contractile Saphenous Vein Smooth Muscle Proteins Are Altered by Hemodynamic Stress: a proteomic approach Mol. Cell. Proteomics, February 1, 2004; 3(2): 115 - 124.
  • M. Endo, Y. Tomizawa, and H. Nishida Bilateral Versus Unilateral Internal Mammary Revascularization in Patients with Diabetes Circulation, September 16, 2003; 108(11): 1343 - 1349.
  • T. D. Rea, M. Crouthamel, M. S. Eisenberg, L. J. Becker, and A. R. Lima. Temporal Patterns in Long-Term Survival After Resuscitation From Out-of-Hospital Cardiac Arrest Circulation, September 9, 2003; 108(10): 1196 - 1201.
  • M. Hilker, T. Langin, U. Hake, F.-X. Schmid, W. Kuroczynski, H.-A. Lehr, H. Oelert, and M. Buerke Gene expression profiling of human stenotic aorto-coronary bypass grafts by cDNA array analysis Eur. J. Cardiothorac. Surg., April 1, 2003; 23(4): 620 - 625.
  • J. L. Sperry, C. B. Deming, C. Bian, P. L. Walinsky, D. A. Kass, F. D. Kolodgie, R. Virmani, A. Y. Kim, and J. J. Rade Wall Tension Is a Potent Negative Regulator of In Vivo Thrombomodulin Expression Circ. Res., January 10, 2003; 92(1): 41 - 47.
  • F. J. Schoen and R. F. Padera Jr. Cardiac Surgical Pathology Card. Surg. Adult, January 1, 2003; 2(2003): 119 - 185.
  • A. Y. Kim, P. L. Walinsky, F. D. Kolodgie, C. Bian, J. L. Sperry, C. B. Deming, E. A. Peck, J. G. Shake, G. B. Ang, R. H. Sohn, et al. Early Loss of Thrombomodulin Expression Impairs Vein Graft Thromboresistance: Implications for Vein Graft Failure Circ. Res., February 8, 2002; 90(2): 205 - 212.
  • K. B. Kim, C. Lim, C. Lee, I.-H. Chae, B.-H. Oh, M.-M. Lee, and Y.-B. Park Off-pump coronary artery bypass may decrease the patency of saphenous vein grafts Ann. Thorac. Surg., September 1, 2001; 72(3): S1033 - 1037.
  • Z. Yang, T. Kozai, B. van de Loo, H. Viswambharan, M. Lachat, M. I. Turina, T. Malinski, and T. F. Luscher. HMG-CoA reductase inhibition improves endothelial cell function and inhibits smooth muscle cell proliferation in human saphenous veins J. Am. Coll. Cardiol., November 1, 2000; 36(5): 1691 - 1697.
  • H. Hirose, A. Amano, S. Yoshida, A. Takahashi, N. Nagano, and T. Kohmoto Coronary Artery Bypass Grafting in the Elderly Chest, May 1, 2000; 117(5): 1262 - 1270.
  • D. R. Holmes Jr and P. B. Berger. Percutaneous Revascularization of Occluded Vein Grafts : Is It Still a Temptation to Be Resisted? Circulation, January 12, 1999; 99(1): 8 - 11.
  • Y. K. Wong, M. Thomas, V. Tsang, P. J. Gallagher, and M. E. Ward. The prevalence of Chlamydia pneumoniae in atherosclerotic and nonatherosclerotic blood vessels of patients attending for redo and first time coronary artery bypass graft surgery. J. Am. Coll. Cardiol., January 1, 1999; 33(1): 152 - 156.
  • F. D. Loop Coronary artery surgery: the end of the beginning Eur. J. Cardiothorac. Surg., December 1, 1998; 14(6): 554 - 571.
  • Z. G. Zhu, H.-H. Li, and B.-R. Zhang. Expression of Endothelin-1 and Constitutional Nitric Oxide Synthase Messenger RNA in Saphenous Vein Endothelial Cells Exposed to Arterial Flow Shear Stress Ann. Thorac. Surg., November 1, 1997; 64(5): 1333 - 1338.
  • A. Y. Kim, P. L. Walinsky, F. D. Kolodgie, C. Bian, J. L. Sperry, C. B. Deming, E. A. Peck, J. G. Shake, G. B. Ang, R. H. Sohn, et al. Early Loss of Thrombomodulin Expression Impairs Vein Graft Thromboresistance: Implications for Vein Graft Failure. Circ. Res., February 8, 2002; 90(2): 205 - 212.

References

Template:SIB

Template:WH Template:WS