The eSVS Mesh is designed to improve the long-term outcome of CABG procedures by addressing limitations of unsupported saphenous veins. eSVS Mesh is a highly flexible, semi-compliant, kink-resistant extravascular tubular prosthesis made of Nitinol wire mesh (knitted nickel/titanium). eSVS Mesh is fitted like a sleeve over a vein graft where a cardiovascular approved fibrin sealant Tisseel/Tissucol* is applied to ensure hemostasis and to adhere the Mesh to the vein surface.
The eSVS Mesh is indicated for maintaining saphenous vein graft bypass patency in patients undergoing coronary artery bypass graft (CABG) procedures utilizing autologous saphenous vein grafts (SVGs) with external diameters from 3.6mm to 7.00mm and double wall thicknesses less than 1.4mm. Indications, Contraindications, Warnings and Instructions for Use can be found in the labeling supplied with each device.
The eSVS Mesh is designed to provide the vein graft with physiological attributes similar to those of an artery by reducing the lumen diameter and strengthening the vessel wall. We believe the key benefits of eSVS Mesh technology include:
- Structural support designed to inhibit vessel expansion and resulting damage to the vessel, which can prevent a thickening of the vessel wall over time, or hyperplasia, and resulting graft failure.
- Radial constriction designed to cause the diameter of the graft, or lumen, to be consistent in size and more closely match the diameter of the target coronary artery thereby increasing blood flow velocities, reducing the potential for clot formation and inhibiting hyperplasia.
- The eSVS Mesh is compatible with current CABG procedures including on-pump or off-pump procedures, and open or endoscopic saphenous vein harvest methods.
- The surgical steps to use a saphenous vein graft with the eSVS Mesh are the same as would be performed for any coronary artery bypass procedure utilizing unsupported SVGs.
(25 cm length, and either 3.5, 4.0, or 4.5 mm in diameter)
For use in placing the eSVS Mesh on the saphenous vein.
For use in loading the eSVS MESH onto the saphenous vein.
For choosing the correct device size based on saphenous vein diameter.