title: Validation of an External Support for Coronary Artery Saphenous Vein Grafts without Fibrin Sealant.
abstract: BACKGROUND
  The aim of the study is to report on a new technique for applying the eSVS Mesh (Kips Bay Medical, Minneapolis, Minnesota, United States), an external saphenous vein support system, without the use of fibrin sealant.
  
  
  METHODS
  The mesh covers the entire body of the graft with the exception of both anastomoses. Fibrin sealant was not used to fix the mesh. Two patients underwent surgery using this preparation.
  
  
  RESULTS
  At 4 weeks, computed tomographic angiography revealed no signs of mesh compression at either anastomotic area. The proximal anastomosis inflow diameter was greater than the diameter of the mesh-supported body of the graft.
  
  
  CONCLUSIONS
  This technique successfully eliminates the need for the use of sealant and supports favorable anastomotic geometry.
authors.affiliation: Department of Cardiac Surgery, Military Institute of Medicine, Central Clinical Hospital, Warsaw, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Suwalski
authors.affiliation: Division of Cardiovascular Surgery, St. Joseph's Hospital, St. Paul, Minnesota, United States.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Emery
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D015718:Fibrin Tissue Adhesive; D006083:Graft Occlusion, Vascular / Q000517:prevention & control*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D014654:Vascular Patency
chemical_list: D015718:Fibrin Tissue Adhesive