A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery

Kiaii, Bob; Moon, Byung C.; Massel, David; Langlois, Yves; Austin, Thomas W.; Willoughby, Andrea; Guiraudon, C; Howard, Craig R.; Guo, Lina

doi:10.1067/mtc.2002.118682

Cited by 137 publications

(115 citation statements)

References 20 publications

Supporting

Mentioning

105

Contrasting

Unclassified

Order By: Relevance

“…Various papers have cited vein procurement time for two lengths of conduit using open vein harvest of 32-64.4 min and using endoscopic vein harvesting of 27.6-65 min. 2 The evidence is largely inconclusive on which is the quicker technique. Certainly there is a learning curve to be surmounted in mastering either.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Audit of Endoscopic Vein Harvesting for Coronary Artery Bypass Surgery

Waqar-Uddin

Purohit

Blakeman

et al. 2009

annals

View full text Add to dashboard Cite

INTRODUCTION The objectives of this study were to: (i) assess the feasibility of minimally invasive endoscopic harvesting of the long saphenous vein or radial artery for use as conduit during coronary artery bypass surgery in the NHS setting; and (ii) investigate the results of endoscopic vein harvesting with regards to postoperative complications, ability to mobilise, and patient satisfaction. PATIENTS AND METHODS In this prospective audit, 25 consecutive patients, aged 52–90 years, undergoing either coronary artery bypass grafting alone or together with valve surgery or atrial fibrillation ablation were studied. All data were entered in purpose-designed proforma. Pre-operative risk factors including increasing age, diabetes, peripheral vascular disease, obesity, renal impairment, tobacco consumption and steroid use were documented. Time taken for harvest and conversion to traditional open vein harvest, quality of harvested vein in terms of number of repairs and vein damage were recorded. Postoperatively, we recorded harvest site wound complications, number of days to mobilise and total hospital stay. Pain score and patient satisfaction were also assessed. RESULTS There was one death due to myocardial infarction; another patient had postoperative cerebrovascular accident. A total of 43 lengths of grafts were harvested, 41 were long saphenous vein and two radial artery. Vein harvest time reduced significantly from a maximum of 94 min to 34 min for two lengths of long saphenous vein. Three patients required conversion from endoscopic vein harvesting to open vein harvest. The only postoperative complication directly related to endoscopic harvesting was bruising along the tunnel created by the passage of the instruments. None of the patients had any wound complication; none required antibiotics or wound debridement. Mean time to mobilise was 3.4 days. All patients who underwent successful endoscopic vein harvesting expressed satisfaction with regards to postoperative pain and cosmetic result. CONCLUSIONS Competence and ability to harvest conduit in an acceptable time frame are obtainable after a relatively low number of cases. The procedure is associated with a low number of postoperative complications and very high patient satisfaction.

show abstract

Section: Discussionmentioning

confidence: 99%

A Prospective Audit of Endoscopic Vein Harvesting for Coronary Artery Bypass Surgery

Waqar-Uddin

Purohit

Blakeman

et al. 2009

annals

View full text Add to dashboard Cite

show abstract

“…Several prospective studies have shown that patients undergoing EVH have significantly less wound pain, fewer complications, fewer mean days until ambulation, a shorter hospital stay, better cosmetic results, and greater overall patient satisfaction [1][2][3][4][5][6]. The outpatient clinic visits for wound complications were significantly fewer after endoscopic than after traditional vein harvest [7].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic harvest of saphenous vein: a lesson learned from 1,348 cases

et al. 2007

View full text Add to dashboard Cite

show abstract

“…4 Compared with open vein-graft harvesting, endoscopic harvesting has many advantages including better cosmetic appearance, less pain, and fewer infections, resulting in decreased length of hospital stay postoperatively and fewer readmission for leg wound infections. 5,6 Endoscopic and open vein-graft harvesting have been shown to have similar initial short-term survival and patency rates. 7,8 In 2009, a widely publicized study of 3000 patients by Lopes et al 9 raised the concern that compared with open veingraft harvesting, endoscopic harvesting was associated with a 50% increase in mortality and a composite 22% increase in death, myocardial infarction, and revascularization at 3 years following the procedure.…”

Section: Espite a Decrease In Utilization Rate Duringmentioning

confidence: 99%

Endoscopic Vein-Graft Harvest Is Safe for CABG Surgery

Dacey¹

2012

JAMA

View full text Add to dashboard Cite

A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery

Cited by 137 publications

References 20 publications

A Prospective Audit of Endoscopic Vein Harvesting for Coronary Artery Bypass Surgery

A Prospective Audit of Endoscopic Vein Harvesting for Coronary Artery Bypass Surgery

Endoscopic harvest of saphenous vein: a lesson learned from 1,348 cases

Endoscopic Vein-Graft Harvest Is Safe for CABG Surgery

Contact Info

Product

Resources

About