Article
Surgery
Heepeel Chang, Frank J. Veith, Caron B. Rockman, Neal S. Cayne, Glenn R. Jacobowitz, Karan Garg
Summary: The study found that patients undergoing open infrainguinal revascularization using RGSV and NRGSV techniques showed comparable primary and secondary patency rates as well as re-intervention rates at one year, with no significant differences observed.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
He Jiao, Jinghui Li, Yunpeng Bai, Zhigang Guo
Summary: This study compared the outcomes of sequential and individual saphenous vein grafts in coronary artery bypass grafting. The results showed that sequential grafts had higher rates of graft failure and long-term mortality, but also an increased risk of perioperative repeat revascularization. Based on the study, the selection of surgical techniques should be based on patients and surgeons.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Critical Care Medicine
Shamsh P. Shaikh, Maha H. Haqqani, Daniel B. Alfson, Alexandra Forsyth, Fernando Brea, Aaron Richman, Jeffrey J. Siracuse, Denis Rybin, Robert Eberhardt, Alik Farber, Tejal S. Brahmbhatt
Summary: This study retrospectively analyzed the records of patients who underwent autogenous great saphenous vein (GSV) bypass surgery for lower extremity arterial injuries at an ACS verified Level I urban trauma center between 2001 and 2019. The results showed that there were no significant differences in terms of graft patency, ambulatory status, and other factors between patients who underwent ipsilateral GSV bypass and those who underwent contralateral GSV bypass. Therefore, ipsilateral GSV can be used as a durable conduit for bypass in cases of lower extremity arterial trauma, offering comparable long-term graft patency rates and ambulatory status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Cardiac & Cardiovascular Systems
Ho Young Hwang, Yeiwon Lee, Suk Ho Sohn, Jae Woong Choi, Ki-Bong Kim
Summary: This study compared 10-year graft patency rates and long-term clinical outcomes between off-pump coronary artery bypass grafting using saphenous vein composite grafts based on the left internal thoracic artery and total arterial composite grafts. The results showed that there were no significant differences in graft patency and clinical outcomes between the two types of grafts over a 10-year period.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Review
Biochemistry & Molecular Biology
Eleonora Mezzetti, Aniello Maiese, Federica Spina, Fabio Del Duca, Alessandra De Matteis, Marco Di Paolo, Raffaele La Russa, Emanuela Turillazzi, Vittorio Fineschi
Summary: Saphenous vein graft (SVG) is a cardiac surgical practice that creates a cardiac bypass in cases of coronary artery obstruction. This paper presents a rare case of SVG aneurysmal rupture that occurred 24 h after surgery. A systematic review of the literature was also conducted to provide a general overview.
Article
Oncology
Shimpei Miyamoto, Takeaki Hidaka, Osamu Fukuoka, Kou Fujisawa, Mutusmi Okazaki
Summary: A triple-paneled method of saphenous vein grafting is a feasible solution for autologous great saphenous vein graft reconstruction of the internal jugular vein.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Review
Surgery
Qiang Guo, Bin Huang, Jichun Zhao
Summary: This study compared the short- and long-term outcomes of different harvesting and grafting techniques in lower extremity arterial bypass patients, finding that skip incision harvesting is the preferred harvesting strategy, reversed bypass grafting may result in better patency for femoropopliteal bypass, and in situ bypass grafting leads to superior long-term patency for infrapopliteal bypass.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Davide Maselli, Gloria Garoffolo, Giada Andrea Cassanmagnago, Rosa Vono, Matthijs S. Ruiter, Anita C. Thomas, Paolo Madeddu, Maurizio Pesce, Gaia Spinetti
Summary: Mechanical stress promotes molecular phenotypic switching of saphenous vein progenitors and increases their responsiveness to extracellular environment alterations.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Mattia Vinciguerra, Cristiano Spadaccio, Charlene Tennyson, Mukesh Karuppannan, Amal Bose, Ernesto Greco, David Rose
Summary: Saphenous vein graft aneurysms (SVGAs) can occur after coronary artery bypass grafting (CABG) surgery, with potential serious complications and adverse outcomes if not promptly diagnosed. Improvements in diagnostic tools over the past decade have enabled early detection of SVGAs, expanding current treatment options.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Review
Medicine, General & Internal
Liam Back, Andrew Ladwiniec
Summary: The use of saphenous vein grafts in the surgical management of obstructive coronary artery disease remains high but they have limitations in longevity. The failure rate of saphenous vein grafts can be up to 61% after 10 years of follow-up. Percutaneous coronary intervention has become the favored strategy for revascularization in SVG failure. However, there are challenges such as thrombi formation, friable lesions, and higher rates of myocardial infarction. Studies have shown worse outcomes with SVG PCI compared to native vessel PCI.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Abu Bakar H. Bhatti, Siddique Khan, Mohammad H. Farooq, Wasib Ishtiaq, Nusrat Y. Khan
Summary: In this study, the outcomes of liver transplantation with great saphenous vein conduits for hepatic arterial reconstruction in living donor liver transplantation were evaluated. The results showed that the placement location and duration of surgery of the conduits had an impact on the survival rate and complications of the transplantation. Liver transplantation with great saphenous vein conduits was associated with acceptable outcomes, but there were some risks involved.
Review
Medicine, General & Internal
Jade Whing, Sandip Nandhra, Craig Nesbitt, Gerard Stansby
Summary: This study compared various treatments for varicose veins in the great saphenous vein, including endovenous laser ablation, radiofrequency ablation, endovenous steam ablation, ultrasound-guided foam sclerotherapy, cyanoacrylate glue, mechanochemical ablation, and high ligation and stripping. The results showed that most methods were comparable in technical success, with endovenous laser ablation possibly having an edge.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Cardiac & Cardiovascular Systems
Iosif Xenogiannis, Marco Zenati, Deepak L. Bhatt, Sunil V. Rao, Josep Rodes-Cabau, Steven Goldman, Kendrick A. Shunk, Kreton Mavromatis, Subhash Banerjee, Khaldoon Alaswad, Ilias Nikolakopoulos, Evangelia Vemmou, Judit Karacsonyi, Dimitrios Alexopoulos, M. Nicholas Burke, Vinayak N. Bapat, Emmanouil S. Brilakis
Summary: Despite advances in surgical techniques and pharmacotherapy, SVG remain the most frequently used conduits in CABG, but the failure rates remains high. Multiple strategies, including no-touch SVG harvesting technique and careful selection of target vessels, can reduce SVG failure. Redo CABG has higher perioperative mortality compared to PCI, making PCI the preferred option for most patients.
Article
Surgery
Sleiman Sebastian Aboul-Hassan, Tomasz Stankowski, Bartlomiej Perek, Anna Olasinska-Wisniewska, Tomasz Urbanowicz, Marek Jemielity, Lukasz Moskal, Weronika Majchrowicz, Michel Pompeu Sa, Ahmed K. Awad, Gianluca Torregrossa, Romuald Cichon
Summary: This study aimed to compare the long-term outcomes of multiple arterial grafts (MAG) and total arterial grafting (TAG) in addition to saphenous vein graft (SVG) after multivessel coronary artery bypass grafting. The results showed no significant differences in early outcomes and long-term survival and freedom from adverse cardiac and cerebral events between MAG + SVG and TAG groups.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Surgery
Patrick Nierlich, Florian K. Enzmann, Peter Metzger, Werner Dabernig, Fatema Akhavan, Julio Ellacuriaga San Martin, Wolfgang Hitzl, Thomas Hoelzenbein
Summary: In cases where the great saphenous vein is not available, both the arm vein and small saphenous vein are equally effective alternatives for peripheral bypass surgery. Although there is a trend towards slightly better results with the small saphenous vein, there is no significant difference between the two options.
ANNALS OF VASCULAR SURGERY
(2021)