Prevention of saphenous vein graft stenosis by the use of an external stent Surgery Other and unspecified disorders of circulatory system
Conditions
Interventions
1. One group of patients will receive conventional bypass graft surgery with saphenous vein
2. In the second group the saphenous vein will be supported with a polyester made stent
Sponsors
British Heart Foundation (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing coronary artery bypass surgery
Exclusion criteria
Exclusion criteria: 1. Re-do surgery 2. First CABG with an associated procedure 3. Associated valve disease 4. Recent MI (<1 month) 5. Poor ejection fraction (<30%) 6. Diabetes 7. Previous history of inflammatory disease 8. Unwillingness to participate in follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study endpoints: Graft wall thickness and luminal size using intravascular ultrasound (IVUS) at time of operation and at follow-up. Wall and luminal volume will be computed from the 3-D reconstructions and compared to values obtained intraoperatively. Final wall and luminal volumes and the changes in these parameters will be compared in stented and unstented grafts. Angiography will be carried out as a necessary adjunct to intravascular ultrasound at follow-up. Clinical Outcomes: Adverse clinical events, including death, myocardial infarction, bleeding, infections, need for reoperation, recurrence of symptoms will be recorded. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not provided at time of registration | — |
Countries
United Kingdom
Outcome results
None listed