Equivalency of Saphenous Vein and Arterial Composite Grafts: 5-Year Angiography and Midterm Clinical Follow-Up

Background. We have observed reopening of the occluded “no-touch” saphenous vein (NT SV) composite grafts on follow-up angiograms in patients who underwent coronary artery bypass graftings (CABG). Methods. Between 2008 and 2018, 1283 patients received NT SV conduits without or with surrounding pedicle tissue as composite grafts based on the in situ left internal thoracic artery (ITA) for CABG and underwent early postoperative angiographies. Among the 1283 patients, 53 patients showed 55 occluded SV conduit anastomoses, and 46 patients who had 48 occluded SV anastomoses were re-evaluated by 1-year postoperative angiographies. Results. Early postoperative angiographies in 1283 patients demonstrated overall occlusion rates of 1.2% (56/4518); occlusion rates of the ITA and SV were 0.08% (1/1259) and 1.7% (55/3260), respectively. One-year angiograms demonstrated that 14 occluded SV anastomoses (29.2% [14/48 occluded SV]) of 14 patients became patent. Reopening of occluded SV conduits occurred more frequently in NT SV with pedicle tissue than in NT SV without pedicle tissue (45.0% [9/20] versus 17.9% [5/28]; P=0.057). When we examined the preoperative and 1-year postoperative angiograms, reopening of the occluded SV conduits was not related with progression (P=0.258) or preoperative reversibility score (P=0.115) of native target coronary artery disease. Conclusions. More than a quarter of the occluded SV composite grafts on early postoperative angiograms were patent in the 1-year angiograms. The reopening rates were higher in patients who had received NT SV conduits with pedicle tissue than those who had received NT SV conduits without pedicle tissue.

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Saphenous Vein to Internal Mammary Artery End-to-end Composite Grafts for Coronary Artery Bypass. Late Follow-up

Heart Lung and Circulation ◽

10.1016/j.hlc.2014.09.014 ◽

2015 ◽

Vol 24 (2) ◽

pp. 200-205 ◽

Cited By ~ 3

Author(s):

Hugh S. Paterson ◽

Jay Thakkar ◽

Karen Byth ◽

A. Robert Denniss

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Saphenous Vein ◽

Internal Mammary Artery ◽

Artery Bypass ◽

Composite Grafts ◽

Internal Mammary ◽

End To End

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Catheter-directed foam sclerotherapy treatment of saphenous vein incompetence

VASA ◽

10.1024/0301-1526/a000174 ◽

2012 ◽

Vol 41 (2) ◽

pp. 120-124 ◽

Cited By ~ 11

Author(s):

Asciutto ◽

Lindblad

Keyword(s):

Saphenous Vein ◽

Short Term ◽

Foam Sclerotherapy ◽

Results Of Treatment ◽

Ulcer Healing Rate ◽

Complete Obliteration ◽

Ceap Classification ◽

One Year ◽

The One

Background: The aim of this study is to report the short-term results of catheter-directed foam sclerotherapy (CDFS) in the treatment of axial saphenous vein incompetence. Patients and methods: Data of all patients undergoing CDFS for symptomatic primary incompetence of the great or small saphenous vein were prospectively collected. Treatment results in terms of occlusion rate and patients grade of satisfaction were analysed. All successfully treated patients underwent clinical and duplex follow-up examinations one year postoperatively. Results: Between September 2006 and September 2010, 357 limbs (337 patients) were treated with CDFS at our institution. Based on the CEAP classification, 64 were allocated to clinical class C3 , 128 to class C4, 102 to class C5 and 63 to class C6. Of the 188 patients who completed the one year follow up examination, 67 % had a complete and 14 % a near complete obliteration of the treated vessel. An ulcer-healing rate of 54 % was detected. 92 % of the patients were satisfied with the results of treatment. We registered six cases of thrombophlebitis and two cases of venous thromboembolism, all requiring treatment. Conclusions: The short-term results of CDFS in patients with axial vein incompetence are acceptable in terms of occlusion and complications rates.

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Ten-year follow-up of a randomized controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia

Journal of Vascular Surgery Venous and Lymphatic Disorders ◽

10.1016/j.jvsv.2021.08.008 ◽

2021 ◽

Author(s):

Céline A.M. Eggen ◽

Tamana Alozai ◽

Pascal Pronk ◽

Michael C. Mooij ◽

Menno T.W. Gaastra ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Laser Ablation ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Controlled Trial ◽

Tumescent Anesthesia ◽

Endovenous Laser Ablation ◽

Randomized Controlled

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The Long-Term Follow-Up of Patients Undergoing Saphenous Vein Bypass Surgery

Circulation ◽

10.1161/01.cir.49.1.77 ◽

1974 ◽

Vol 49 (1) ◽

pp. 77-85 ◽

Cited By ~ 69

Author(s):

DAVID S. CANNOM ◽

D. CRAIG MILLER ◽

NORMAN E. SHUMWAY ◽

THOMAS J. FOGARTY ◽

PAT O. DAILY ◽

...

Keyword(s):

Saphenous Vein ◽

Bypass Surgery ◽

Saphenous Vein Bypass ◽

Long Term Follow Up ◽

Vein Bypass

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Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up

Phlebology The Journal of Venous Disease ◽

10.1177/0268355515627260 ◽

2016 ◽

Vol 32 (1) ◽

pp. 43-48 ◽

Cited By ~ 17

Author(s):

Pamela S Kim ◽

Muath Bishawi ◽

David Draughn ◽

Marab Boter ◽

Charles Gould ◽

...

Keyword(s):

Clinical Improvement ◽

Saphenous Vein ◽

Severity Score ◽

Great Saphenous Vein ◽

Clinical Severity ◽

Mechanochemical Ablation ◽

Venous Clinical Severity Score ◽

Occlusion Rate ◽

The Mean

Background Several studies have shown comparable early efficacy of mechanochemical ablation to endothermal techniques. The goal of this report was to show if early efficacy is maintained at 24 months. Methods This was a two-year analysis on the efficacy of mechanochemical ablation in patients with symptomatic C2 or more advanced chronic venous disease. Patients with reflux in the great saphenous vein involving the sapheno-femoral junction and no previous venous interventions were included. Demographic information, clinical, and procedural data were collected. The occlusion rate of treated veins was assessed with duplex ultrasound. Patient clinical improvement was assessed by Clinical-Etiology-Anatomy-Pathophysiology (CEAP) class and venous clinical severity score. Results Of the initial 126 patients, there were 65 patients with 24 month follow-up. Of these 65 patients, 70% were female, with a mean age of 70 ± 14 years and an average body mass index (BMI) of BMI of 30.5 ± 6. The mean great saphenous vein diameter in the upper thigh was 7.6 mm and the mean treatment length was 39 cm. Adjunctive treatment of the varicosities was performed in 14% of patients during the procedure. Closure rates were 100% at one week, 98% at three months, 95% at 12 months, and 92% at 24 months. There was one patient with complete and four with partial recanalization ranging from 7 to 12 cm (mean length 9 cm). There was significant improvement in CEAP and venous clinical severity score (P < .001) for all time intervals. Conclusion Early high occlusion rate with mechanochemical ablation is associated with significant clinical improvement which is maintained at 24 months, making it a very good option for the treatment of great saphenous vein incompetence.

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