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.
Evaluation 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.
Conclusion This technique successfully eliminates the need for the use of sealant and supports
favorable anastomotic geometry.
Keywords
eSVS mesh - vein graft patency - operative technique
