Interventional Cardiology

What are the implications of distal embolization in Saphenous vein grafts?

Published By : Boston Scientific

Published On : Jan 9, 2019 10:10:36 AM

Protect Against Distal Embolization

Saphenous vein grafts (SVGs) yield high embolic risk. Predictable protection from embolic debris can help ensure better patient outcomes.

  • Patients undergoing PCI in SVGs may have increased risk of adverse events due to plaque embolization
  • Distal embolization during SVG PCI is common, and embolic events cannot be accurately predicted by clinical or angiographic variables
  • Mechanical embolic protection devices are used to capture atheroemboli
  • Use of distal embolic protection devices is an ACC/AHA/SCAI standard of care recommendation


Protect Against Distal Embolization

  1. Quality Outcomes

    42% reduction in incidence of MI

    • Mean cost of an MI is > 22,000€ in the first year
  2. Operational Efficiency

    Embolic protection associated with 1,220€ in savings (primarily centered on length of stay)

    • Savings largely offset the cost of the device
  3. Patient Experience

    Reduced hospital stay by 0.4 days

    Embolic Protection Devices are Underutilized





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