“…Adventitial angiogenesis, an outward remodeling process by which new tissue and microvessels form on the outer, adventitial layer of vein walls, is thought to be beneficial for veins surgically connected to the arterial circulation because it can cause the outward instead of inward migration of VSMCs and myofibroblasts to mitigate NH (Angelini, Izzat, Bryan, & Newby, 1996; George et al, 2001; Jeremy et al, 2007; Mehta et al, 1998). Neovascularization (as well as accumulation of immune cells such as lymphocytes and neutrophils) induced by perivascular wraps comprised of nondegradable Dacron (Angelini et al, 1996; George et al, 2001; Jeremy et al, 2007; Mehta et al, 1998) or fast‐degrading (i.e., 1–2 month loss of strength) polyglactin (Jeremy et al, 2004; Maurus & Kaeding, 2004; Vijayan et al, 2004) may have reduced NH by serving as chemoattractants in the interstitial space between external stent and venous tissue, as well as by restoring a small blood vessel network akin to the vein's native vasa vasorum (i.e., neovasa vasorum) that may mitigate NH‐inducing hypoxic conditions (Chanakira et al, 2012; McGeachie, Meagher, & Prendergast, 1989; Misra et al, 2010) and is particularly disrupted in PABG and CABG surgeries (Jeremy et al, 2007).…”