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CARDIOVASCULAR INTRODUCTION

In the cardiovascular physician pages, health care providers can review detailed information on GSI's products for minimally invasive cardiovascular surgical procedures, including our ENDOSAPH® vein harvest system and SEPS (Subfascial Endoscopic Perforator Surgery) balloon dissector products.

Cardiovascular Summary
GSI offers minimally invasive surgical solutions to vascular and cardiovascular procedures where dramatic patient benefits can be realized. We provide the clinician with complete procedural solutions necessary to make the minimally invasive procedure relatively less traumatic for the patient than traditional open surgery.

The GSI SPACEMAKER® balloon dissectors currently have applications in two important procedures:
SEPS (Subfascial Endoscopic Perforator Surgery) for treatment of chronic venous insufficiency via ligation of incompetent perforating veins
Saphenous vein harvesting for peripheral or coronary artery bypass grafting

Subfascial Endoscopic Perforator Surgery (SEPS)
GSI has applied its technology to the development of what we believe is a much better surgical alternative to traditional treatment methods for chronic venous insufficiency. This condition, found in the lower extremities, is manifested in chronic skin ulcers caused by insufficient blood supply. GSI's SPACEMAKER® balloon dissector for SEPS can be introduced at a site remote from the ulceration and used to create an operative space from which the surgery can proceed. GSI believes that subfascial endoscopic perforator surgery (SEPS) is perhaps the only viable alternative for many of the estimated 1.2 million symptomatic patients in the United States, and that an even greater number of potential patients reside in foreign countries.

Saphenous Vein Harvest for Coronary Artery Bypass Grafting
Traditional saphenous vein harvest for coronary artery bypass grafting (CABG) is highly invasive and painful for the patient, involving the creation of a long incision potentially extending from the ankle to the groin, depending on how much vein is required. GSI's
ENDOSAPH® vein harvest system allows the surgical team to dissect a surgical working space adjacent to the vein and facilitates minimally invasive techniques for harvesting the saphenous vein, requiring a minimal number of small incisions. With over 600,000 coronary artery bypass grafting (CABG) procedures performed annually around the world, and nearly 80% of those procedures utilizing some segment of the saphenous vein, GSI believes its products can deliver a positive impact in this market.

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