dec 16, 2021 by Philips
Reading time: 1-2 minutes

Saphenous vein graft and thrombus lesions


SVG patency rates have been reported at approximately 80% at 1 year and approximately 50% at 15 years and beyond.1

Saphenous vein graft and thrombus lesions masthead

Clinical challenges

  • Tough fibrotic lesions are at the anastomosis site.
  • There is a risk of distal emboli.
  • Higher MACE and ISR rates are associated with these cases.

Advanced tools for optimal PCI outcomes

IVUS software image

  • Identifies the extent of thrombus or plaque distribution, vessel sizes and lesion length.
  • Correlates plaque and treatment locations to the angiogram with the goal of reduced contrast load and radiation exposure with IVUS Co-registration.

Angio Sculpt Evo RX PTCA scoring balloon catheter

  • Provides the power necessary to maximize lume diameter.
  • Delivers 15-25x’s the focal force of a traditional balloon.

ELCA product

  • Only coronary atherectomy device with an SVG indication.
  • Vaporizes the plaque and often used to assist in delivering embolic protection.

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References


1. Fitzgibbon GM et al. Coronary bypass graft fate and patient outcome: angiographic follow-up of 5065 grafts related to survival and reoperation in 1388 patients during 25 years. J Am Coll Cardiol. 1996;28:616–26

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