Saphenous Vein Bypass Graft Disease Hardcover Books- Buy Saphenous Vein Bypass Graft Disease Books online at lowest price with Rating & Reviews , Free Shipping*, COD. - Infibeam.com
Coronary artery bypass graft (CABG) surgery is a commonly used revascularization strategy in patients with severe coronary artery disease. Saphenous vein grafts (SVGs) are the most frequently used conduits for this procedure. Unlike arterial grafts, SVGs are particularly susceptible to occlusive thrombosis during the first post-operative year, which exposes patients to increased risks of death, myocardial infarction, and repeat revascularization.. This study is designed to evaluate the effect of antiplatelets (Tirafiban and Prasugrel) on the incidence of early and intermediate graft patency after CABG. Patients will undergo planned cardiac Computed tomographic angiography (CTA) predischarge (at 1 week) and CTA/coronary angiography (CAG) at 6 months to 1 year follow-up. CTA at baseline (predischarge) and follow-up CTA/CAG at 6-12 months after CABG will be used to evaluate graft patency. ...
Percutaneous coronary intervention of degenerated saphenous vein grafts remains relatively high risk when compared to native vessel interventions, despite advances in pharmacotherapy and embolic protection. This article discusses the phenomenon of distal embolization that seems to plague saphenous vein graft interventions, reviews device-based strategies for embolic protection, and offers a perspective on the utility of percutaneous saphenous vein graft intervention in both elective and acute settings.. ...
Primary human endothelial cells have a finite life span in vitro. After 3-4 passages, they tend to de-differentiate and eventually reach senescence. This limits their use in studies of endothelial cell function. To overcome this, we have developed human saphenous vein endothelial cell lines (HSVEC lines). Two cell lines were produced by infection with pZipSVtsA58-U19 which encodes the simian virus 40 large T-antigen, and one cell line was obtained by transfection with pLXSN16E6E7, which encodes the human papillomavirus type 16 E6 and E7 genes. Two of the three HSVEC lines exhibited an extended life span in vitro and retained characteristic endothelial cobblestone morphology. These cell lines expressed the known endothelial markers CD31 and vascular endothelial cadherin, and were able to bind Ulex europaeus lectin I, but they did not retain the expression of von Willebrand factor. Furthermore, one cell line was able to functionally up-regulate the expression of intercellular adhesion molecule-1 ...
Objective: The saphenous vein is the most commonly used graft in coronary artery bypass surgery, since no suitable arterial graft is available. However, the frequency of late graft failure is a cause for research into graft protection. The objective of this study was to investigate the effect of synthetic adhesive cyanoacrylate administration on the saphenous vein graft for preventing vascular damage due to internal pressure on the graft. Methods: In this study we enrolled 20 volunteer subjects who had undergone coronary artery bypass surgery and who had excess saphenous vein grafts. Perivascular cyanoacrylate was administered to one of two saphenous vein grafts explanted from each patient. The other saphenous vein graft from each patient was not treated and was used as the control. A model of the arterial system was created using a saphenous vein cardiopulmonary bypass system. Circulation was maintained at 120 mmHg for 45 minutes. Afterwards, the grafts were subjected to histopathological examination.
TY - JOUR. T1 - A New Treatment Strategy for Saphenous Vein Graft Lesions?. T2 - Letting it Go ∗. AU - Brilakis, Emmanouil S.. AU - Banerjee, Subhash. AU - Burke, M. Nicholas. PY - 2018/5/8. Y1 - 2018/5/8. KW - coronary artery bypass graft surgery. KW - native coronary artery. KW - percutaneous coronary intervention. KW - saphenous vein graft. UR - http://www.scopus.com/inward/record.url?scp=85046542322&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85046542322&partnerID=8YFLogxK. U2 - 10.1016/j.jacc.2018.03.457. DO - 10.1016/j.jacc.2018.03.457. M3 - Editorial. C2 - 29724351. AN - SCOPUS:85046542322. VL - 71. SP - 1983. EP - 1985. JO - Journal of the American College of Cardiology. JF - Journal of the American College of Cardiology. SN - 0735-1097. IS - 18. ER - ...
BackgroundEndovenous radio frequency ablation for small saphenous vein incompetence by and large appears to be superior and safer than conventional open surgery. Small saphenous vein ablation from approximately mid-calf to the point proximally where the small saphenous vein dives into the popliteal
The ubiquity of coronary artery disease and the resultant widespread use of saphenous veins for coronary artery bypass surgery has stimulated considerable interest in the morphologic and pathophysiologic alterations these vessels undergo after implantation. This study was undertaken to determine the ability of intravascular ultrasound to identify and characterize abnormalities in saphenous vein grafts. Ten saphenous vein grafts excised at autopsy and nine saphenous vein segments harvested during coronary artery bypass surgery were examined with intravascular ultrasound imaging, quantitative coronary angiographic techniques and histologic analysis.. Intravascular ultrasound lumen measurements were strongly correlated with quantitative coronary arteriographic measurements (r 0.91, SEE 0.5 mm). Wall thickness was significantly greater in the vein grafts after long-term implantation than in the freshly harvested veins (average thickness 1.4 ± 0.5 vs. 0.7 ± 0.2 mm, p , 0.007); this finding ...
Autologous saphenous vein continues to be one of the most widely used conduits for myocardial revascularization7 despite its disappointing long-term patency rate, with ≤50% of vein grafts occluded by 10 years after surgery.8 9 Late occlusion appears to result from both medial and neointimal thickening, caused by migration and proliferation of smooth muscle cells, and the late appearance of mature lipid-laden atherosclerotic plaques. These changes can compromise flow directly or promote thrombotic occlusion.1 10 Neither antiplatelet therapy nor avoidance of surgical preparative injury has been shown conclusively to eliminate medial and neointimal thickening in either experimental models or human vein grafts.1 2 8 Vessel wall thickening may be regarded as an intrinsic adaptation of the vein to arterial pressure,1 10 and grafting per se was recently shown to stimulate the production of endogenous growth factors from pig saphenous vein, which may account for the platelet independence of graft wall ...
TY - JOUR. T1 - Gender-specific Differences in Great Saphenous Vein Conduit. A Link to Lower Extremity Bypass Outcomes Disparities?. AU - Lagergren, Emily R.. AU - Kempe, Kelly. AU - Craven, Timothy E.. AU - Kornegay, S. Tucker. AU - Garg, Nitin. AU - Velazquez-Ramirez, Gabriela. AU - Hurie, Justin B.. AU - Edwards, Matthew S.. AU - Corriere, Matthew A.. PY - 2017/1/1. Y1 - 2017/1/1. N2 - Background Inferior lower extremity bypass (LEB) outcomes have been reported among women with peripheral arterial disease (PAD), but the mechanisms responsible for this disparity are unknown. Great saphenous vein (GSV) is considered the conduit of choice for LEB; GSV diameter is associated with graft patency and therefore is often used as a criterion for suitability for use as bypass conduit. We hypothesized that gender-based differences in GSV may contribute to LEB outcomes disparities. To explore this hypothesis, we performed a gender-based analysis of GSV anatomic characteristics among patients with PAD who ...
There are multiple treatment options for varicose veins. While the initial treatment is medical consisting of compression stockings and medications, new products are ever evolving. One of the newest products available is the venaseal closure system for great saphenous veins. This treatment option does not require the postoperative use of compression stockings and has no risk of heat induced complications.. The venaseal closure system for great saphenous veins is a unique treatment option that uses a bioglue to obstruct and close the great saphenous vein. Traditional radiofrequency ablation can cause skin necrosis and has the potential to damage cutaneous nerves. The venaseal closure system for great saphenous veins does not use any heat. The surgeon will localize the vein using ultrasound. Then, the surgeon will insert the catheter into the vein. The catheter is manipulated to the proximal part of the vein and injected with the bioglue. The surgeon will gradually pull back on the catheter while ...
Within 6 h, shear stress upregulated intercellular adhesion molecule-1 (ICAM-1) (two- to four-fold, P|0.001) and induced matrix metalloproteinase-2 (MMP-2) in cultured human saphenous vein endothelial cells. By 8 h endothelial ICAM-1 levels returned to baseline, with concomitant increase in soluble ICAM-1 (sICAM-1) (P|0.001) and MMP-9 had been induced. Inclusion of a hydroxamate metalloproteinase inhibitor partially reversed the effects on ICAM-1 and sICAM-1 at 8 h, whereas TIMP-1, -2 or -3 had no effect. MMP-9, but not MMP-2, co-immunoprecipitated with ICAM-1. sICAM-1 was processed distal to Arg441, indicating that MMP-9, docking to ICAM-1, contributes to sICAM-1 shedding and attenuation of the shear stress-induced upregulation of ICAM-1.
The great saphenous vein (GSV) forms part of the superficial venous system of the lower limb. Terminology Great saphenous vein is the preferred terminology over other variants such as long saphenous vein (LSV), greater saphenous vein or intern...
Aneurysmatic degeneration of saphenous vein coronary artery grafts is a rare complication that generally appears late. Most of these cases are asymptomatic, although they may also be accompanied by angina, heart attack or dyspnea. The suspected diagnosis should be made when a mediastinal mass is discovered in the thoracic x-ray of a patient with a history of coronary revascularization. A computerized tomography and coronary angiography should be performed in order to confirm the diagnosis.. Due to the significant morbidity and mortality risk inherent to the risk of rupture, embolization or heart attack, surgery to remove or exclude the aneurysm should be considered as definitive treatment.. ...
Coronary artery bypass grafting is an effective treatment for myocardial ischaemia and is particularly important in patients with multivessel disease and diabetes. However, up to 40% of saphenous vein grafts will occlude within 10 years of surgery. T
The great saphenous vein (GSV), also long saphenous vein, is the large (subcutaneous) superficial vein of the leg and thigh. The GSV originates from where the dorsal vein of the first digit (the large toe) merges with the dorsal venous arch of the foot. After passing anterior to the medial malleolus (where it often can be visualized and palpated), it runs up the medial side of the leg. At the knee, it runs over the posterior border of the medial epicondyle of the femur bone. The great saphenous vein then courses laterally to lie on the anterior surface of the thigh before entering an opening in the fascia lata called the saphenous opening. It joins with the femoral vein in the region of the femoral triangle at the saphenofemoral junction ...
Define saphenous vein, great. saphenous vein, great synonyms, saphenous vein, great pronunciation, saphenous vein, great translation, English dictionary definition of saphenous vein, great. n. 1. a. Anatomy Any of the membranous tubes that form a branching system and carry blood to the heart from the cells, tissues, and organs of the body. b.
• Autogenous saphenous vein was used preferentially for 92 below-knee bypass procedures (44 femoral-distal popliteal and 48 femoral-distal tibial or peroneal) p
A 73 year old woman presented with angina 22 years after saphenous vein grafts. All three grafts were in excellent condition, with the exception of a severe stenosis in the proximal portion of the circumflex graft (panel A). For elective percutaneous coronary intervention (PCI), a FilterWire distal protection device was deployed in the body of the graft before pre-dilatation with a 2.5 × 15 mm Maverick balloon. Aiming to minimise the risk of distal embolisation, a (self expanding nitinol) Symbiot polymer covered stent (4.0 × 20 mm) was deployed (panel B). These stents require post-inflation to optimise deployment. Following in-stent inflation (4.0 × 15 mm Extensor) a new filling defect (white arrow) was immediately apparent within the stent at its proximal end (panel C). Filling defects (white arrows) were also present within the FilterWire device (black arrows) (panel C). The in-stent debris was presumed to be material extruded from the proximal margin of the covered stent after high ...
The main trunk of the long saphenous vein arises from the medial marginal vein, anteriorly to the medial malleolus. It ascends vertically behind the medial border of the tibia, then behind the medial condyle of the femur to reach the femoral vein below the inguinal ligament.. In addition to the anatomical variants of its junction with the femoral vein, the long saphenous vein is also characterized by the complexity of its accessory and satellite networks.. It is essential to remember that a dilated long saphenous vein, with reflux at the saphenofemoral junction and upper third of the thigh, may be associated with a small (2 mm), competent trunk in the mid-thigh. This vessel, sometimes not detected on ultrasonography, preserves its normal anatomical course along the aponeurosis in the lower third of the thigh, as the reflux persists in an anterior or posterior accessory saphenous yein (Figure 66 left), or an accessory vein parallel to the main trunk (Figure 66 right).. When the accessory vein is ...
Background Saphenous vein grafts develop an aggressive atherosclerotic process and the efficacy of drug eluting stents (DES) in treating saphenous vein graft (SVG) lesions has not been convincingly demonstrated. The aim of this study was to review and analyze the current literature for controlled studies comparing DES versus bare metal stents (BMS) for treatment of SVG stenoses. Methodology/Principal Findings We searched several scientific databases and conference proceedings up to March 15, 2010 for controlled studies comparing target vessel revascularization (TVR) between DES and BMS. Summary odds ratios (OR) for the primary endpoint TVR and secondary endpoints infarction, stent thrombosis and death were calculated using random-effect models. A total of 29 studies (3 randomized controlled trials RCT) involving 7549 (202 in RCT) patients were included. The need for target vessel revascularization in the DES group tended to be lower compared to BMS for the 3 RCT (OR 0.50 [0.24-1.00]; p = 0.051) and for
Fifty-five consecutive patients with intermittent resting chest pain persisting more than 24 hours after hospitalization and accompanied by ECG changes representative of ischemia were operated urgently more than one year ago. Recent cases with shorter follow-up are excluded. Twenty-eight patients had single grafts, 23 had double grafts, three had triple grafts, and one a quadruple graft. There were three operative deaths (5%) and one sudden late death (2%). There were six early Mls and three late Mls. Follow-up ranges from 12 to 52 months (mean 24 months) with nine patients followed for four years. Actuarial analysis indicates a projected survival rate of 93% three years postoperative. Twenty-three survivors are Functional Class (FC) I, 19 are FC II, and eight are FC III. Functional class could not be determined in one survivor. Thirty patients had postoperative angiography one week to 32 months postop. 35/51 grafts were patent. Only three patients had no patent grafts. There were no significant ...
The saphenous vein is involved in 99% of all the varicose veins seen in females in Bay Shore. Any condition that causes high pressures in this vein causes the valves to pull apart and leads to engorgement of the saphenous vein.
The saphenous vein is involved in 99% of all the varicose veins seen in females in Liverpool. Any condition that causes high pressures in this vein causes the valves to pull apart and leads to engorgement of the saphenous vein.
Results from a recent investigiation has established that Laser crossectomy of the GSV is a more effective method of preventing secondary anterior accessory great saphenous vein reflux
TY - JOUR. T1 - Diffusa ectasia e aneurisma focale di un by-pass venoso aorto-coronarico. AU - Lucreziotti, Stefano. AU - Sponzilli, Carlo. AU - Castini, Diego. AU - Salerno, Diego. AU - Bosotti, Laura. AU - Lombardi, Federico. PY - 2007/4. Y1 - 2007/4. N2 - Saphenous vein graft disease is a continuum process which develops from the very early post-surgical period. Although progressive obstruction is the most common feature of SVG disease, severe dilatation with patterns of diffuse ectasia, aneurysm, or pseudoaneurysm may rarely occur. The present article describes a case of an aorto-coronary vein graft presenting an angiographic pattern of diffuse ectasia with a focal aneurysm.. AB - Saphenous vein graft disease is a continuum process which develops from the very early post-surgical period. Although progressive obstruction is the most common feature of SVG disease, severe dilatation with patterns of diffuse ectasia, aneurysm, or pseudoaneurysm may rarely occur. The present article describes a ...
To the editor: I am responding to a statement made by Farry and associates in a recent case report ("Development of Atherosclerosis in Saphenous Vein Coronary Bypass Graft," Ann Intern Med 85:478-479, 1976).. The authors state that the occurrence of atherosclerosis in aortocornary saphenous vein bypass grafts had not been described before their report. This is not true; our group in Milwaukee has previously reported several such instances (see references below). ...
The lesser saphenous vein is a venous blood vessel that runs up the length of the leg. It originates from the junction formed between two small veins in the foot, the fifth toes dorsal vein and the dorsal venous arch.
Providing the interface between the blood and the underlying layers of smooth muscle, the endothelium is the guardian of the vessel wall. Dejana et al26 were the first to describe the specific binding of fibrinogen to the endothelium. Since then, there have been numerous reports that particular sequences on the fibrinogen molecule, or its fragments, can interact with cultured endothelial cells and result in a variety of downstream events. In particular, the cleavage of fibrinopeptide B to expose the Bβ15-42 sequence at the amino terminals of the Bβ chains has been considered to mediate the release of von Willebrand factor, endothelial cell spreading, and proliferation on fibrin.14 27 28 Very recently, VE-cadherin has been identified as the endothelial cell receptor for the Bβ15-42 sequence of fibrin.16 The present study indicates that interaction of the Bβ15-42 sequence of fibrinogen with endothelial cells cultured from human saphenous vein leads to the upregulation of ICAM-1 and increased ...
TY - JOUR. T1 - Occlusion of coronary arteries after vein bypass. AU - Malinow, M. R.. AU - Kremkau, E. L.. AU - Kloster, F. E.. AU - Bonchek, L. I.. AU - Rösch, J.. PY - 1973/1/1. Y1 - 1973/1/1. N2 - The coronary arteries of 100 patients were radiographically visualized by selective injection of contrast material. Findings in the three main arteries (left anterior descending, right, and circumflex arteries) were analyzed before and after aortocoronary saphenous vein graft surgery. Proximal coronary artery stenosis progressed to complete occlusion in almost half the patients on whose stenotic arteries a graft had been placed. The incidence was higher than that observed in nongrafted arteries during the natural course of the disease. The frequency of occlusion in grafted coronary arteries was higher in severely stenotic than in moderately stenotic arteries. The fact that the occlusion occurred more often with a patent graft than with a closed graft suggests a hemodynamic component in its ...
The two largest superficial veins of the lower extremity arise from it. On the medial side of the dorsal venous arch, identify the great saphenous vein, on the lateral side of the dorsal venous arch identify the small saphenous vein. The great saphenous vein passes anterior to the medial malleolus of the tibia as it crosses the ankle joint. The small saphenous vein ...
The two largest superficial veins of the lower extremity arise from it. On the medial side of the dorsal venous arch, identify the great saphenous vein, on the lateral side of the dorsal venous arch identify the small saphenous vein. The great saphenous vein passes anterior to the medial malleolus of the tibia as it crosses the ankle joint. The small saphenous vein ...
Hoballah J.J. (2006) Femoroanterior Tibial Bypass with Nonreversed Greater Saphenous Vein. In: Hoballah J.J., Scott-Conner C.E.H. (eds) Operative Dictations in General and Vascular Surgery. Operative Dictations Made Simple. Springer, New York, ...
(KudoZ) Polish to English translation of żyła odstrzałkowa: small/external/short saphenous vein [Medical: Cardiology (Medical)].
Formation of pseudoaneurysms of saphenous vein grafts after coronary artery bypass grafting has been reported previously in relation to anastomoses or secondary to infection. Pseudoaneurysm of the saphenous vein graft after late rupture of the saphenous vein and containment by the obliterated pericardial cavity has not been documented. Such a case is reported and published reports of similar cases are reviewed.. ...
For the purposes of this example, this open four vessel coronary artery bypass was completed by grafting three coronary arteries using the left autologous greater saphenous vein, harvested endoscopically, and the fourth coronary artery was bypassed using the loosened end of the left internal mammary artery. This was an off pump procedure. In ICD-9-CM, the Alphabetic Index main term entry is Bypass; subterm aortocoronary, which is further subdivided by the number of vessels leading to codes 36.11-36.14. Another subterm entry identifies internal mammary-coronary which identifies code 36.15. The harvest of the greater saphenous vein is not coded separately in ICD-9-CM. In ICD-10-PCS, there are two root operations for this procedure, Bypass and Excision. Two codes are assigned for the four vessel coronary artery bypass and an additional code is assigned for excision of the greater saphenous vein. Starting with Bypass, the index main term is Bypass; subterm artery and further subdivided by coronary. ...
Eid-Lidt, Guering et al. Long-term outcomes of saphenous vein graft stenting compared with native coronary artery stenting in patients with previous coronary artery bypass graft surgery. Arch. Cardiol. M x., Mar 2010, vol.80, no.1, p.3-9. ISSN 1405- ...
These data show that the Symbiot covered stent does not provide additional advantage in reducing the rate of angiographic restenosis when compared to control. The trend toward increased clinical and angiographic restenosis with the Symbiot stent may be related to the implantation of significantly longer stents when compared to control. Bare metal stents in SVG intervention performed well with low rates of revascularization at 8-month follow-up with TVR rate of 15.6%. ...
BACKGROUND: Saphenous vein graft disease remains a major limitation of coronary artery bypass graft surgery. The process of saphenous vein intimal hyperplasia begins just days after surgical revascularization, setting the stage for graft atherosclero
The great saphenous vein and the lesser saphenous vein are important superficial veins. The valves that exist where these veins are connected to the d...
Previous studies have established that MMP-2 and MMP-9 expression is upregulated in models of atherosclerosis formation26 33 and angioplasty restenosis.22 24 25 There have not, however, been any previous studies of gelatinase activity in animal models of vein grafting. The present study demonstrates clearly that grafting saphenous veins into the carotid arteries of pigs increases the tissue levels and secretion of both pro and active forms of MMP-2 and of pro-MMP-9. The time course of increase in MMP-2 and MMP-9 activity spans the period of medial and intimal thickening in this model, which occurs rapidly in the first 28 days and then abates up to 168 days.6 We have shown in the present study that pro-MMP-2 is constitutively expressed in the normal vein and artery, but there is little active MMP-2. Proteolysis of pro-MMP-2 to its active form by membrane-type metalloproteinases is believed to be of key importance for its regulation.34 35 36 In vein grafts, the increase in pro-MMP-2 and the ...
Capitalize the first letter of each major word in titles and subtitles. Do not capitalize articles (eg, a, an, the), prepositions of 3 or fewer letters, coordinating conjunctions (and, or, for, nor, but), or the to in infinitives. Do capitalize a 2-letter verb, such as Is or Be. Exceptions are made for some expressions, such as compound terms from languages other than English and phrasal verbs: Ethical Questions Surrounding In Vitro Fertilization Permanent Duplex Surveillance of In Situ Saphenous Vein Bypasses Choice of Stents and End Points for Treatment of De Novo Coronary Artery Lesions Weighing In on Bariatric Surgery
Capitalize the first letter of each major word in titles and subtitles. Do not capitalize articles (eg, a, an, the), prepositions of 3 or fewer letters, coordinating conjunctions (and, or, for, nor, but), or the to in infinitives. Do capitalize a 2-letter verb, such as Is or Be. Exceptions are made for some expressions, such as compound terms from languages other than English and phrasal verbs: Ethical Questions Surrounding In Vitro Fertilization Permanent Duplex Surveillance of In Situ Saphenous Vein Bypasses Choice of Stents and End Points for Treatment of De Novo Coronary Artery Lesions Weighing In on Bariatric Surgery
This minimally invasive treatment is an outpatient procedure performed using imaging guidance. After applying local anesthetic to the vein, an interventional radiologist inserts a thin catheter, about the size of a strand of spaghetti, into the vein, and guides it up the greater saphenous vein into the thigh. Laser or radiofrequency energy is then applied to the inside of the vein, heating and then sealing the vein closed. By closing the greater saphenous vein, the twisted and varicosed branch veins, which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow.. Laser vein ablation is a quick, effective procedure that involves minimal discomfort and represents a vast improvement over the traditional option of vein stripping and ligation surgery that was often painful and required up to six weeks of recovery. After the procedure, a patient can literally walk out of the office ...
Dr. Landi responded: Accessory vein.. The anterior accessory vein is a major branch of the saphenous vein and usually originates in the upper groin. This vein can become abnormal if the valves in this vein |a href="/topics/reflux" track_data="{
Over the last decade, there have been major advances in the minimally invasive approach to vein problems. The key to proper treatment is the correct diagnosis of the root cause of the vein problems of the leg. We start with a careful history and physical examination to identify risk factors along with the signs and symptoms of venous disorders. The next step is the use of noninvasive ultrasound diagnostics to create a road-map of the venous system to identify and locate valve dysfunction. Only then can an appropriate treatment plan be developed. If ultrasound evaluation identifies that the valves of the saphenous vein or perforator veins are not functioning normally, a minimally invasive catheter based treatment can be used. Radiofrequency ablation, the Venefit procedure, is the technique of choice for the NJ VeinCare to treat valve dysfunction resulting in reflux of the long and short saphenous veins along with the perforator veins. This treatment is covered by most health insurance plans! ...
Almeida, Jose, "Which Saphenous Veins REALLY Need Ablation? Not All Reflux Needs to be Cooked" (2013). All Publications. 1575 ...
A medical instrument for endoscopic removal of the saphenous vein has an elongated shaft which has at the distal end a spatula tip and in whose proximal region is arranged a laterally projecting handle. The instrument further has an endoscopic optical system which has an eyepiece cup that is arranged at the proximal end of the instrument. The handle is joined to the shaft in such a way that an outer side of the instrument facing away from the handle continuously has a surface that, from the distal to the proximal end, is free of projections. The eyepiece cup is arranged in oblique orientation with respect to a longitudinal center axis of the shaft and encloses with the handle, with respect to the longitudinal center axis, an angle of less than 90 .
A medical instrument for endoscopic removal of the saphenous vein has an elongated shaft which hat at the distal end a spatula tip and in whose proximal region is arranged a laterally projecting handle. The instrument further has an endoscopic optical system which has an eyepiece cup that is arranged at the proximal end of the instrument. The handle is joined to the shaft in such a way that an outer side of the instrument facing away from the handle continuously has a surface that, from the distal to the proximal end, is free of projections. The eyepiece cup is arranged in oblique orientation with respect to a longitudinal center axis of the shaft and encloses with the handle, with respect to the longitudinal center axis, an angle of less than 90 .
Diagnosis Code S85.41 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.