External stent (VEST) for saphenous vein grafts in coronary artery bypass grafting.

This video tutorial is a guide to the application of the only currently available external stent for saphenous vein grafts, the VEST (Vascular Graft Solutions, Tel Aviv, Israel). We describe the preparation of the vein graft, selection of the appropriate VEST model, and the application procedure itself. We also present angiograms 2 years after coronary artery bypass grafting of unsupported versus VEST-supported saphenous vein grafts.