A randomized study comparing three groups of vein harvesting methods for coronary artery bypass grafting: endoscopic harvest versus standard bridging and open techniques

Krishnamoorthy, Bhuvaneswari; Critchley, William R.; Glover, Alex; Nair, Janesh; Jones, Mark T.; Waterworth, Paul; Fildes, James E.; Yonan, Nizar

doi:10.1093/icvts/ivs164

Cited by 37 publications

(27 citation statements)

References 14 publications

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“…Wound complication rates with this approach are 3.2% to 25%. [10][11][12][13][14] Endoscopic vein harvest (EVH) is widely used in coronary artery bypass grafting due to a perceived reduction in wound-related complications, improved patient satisfaction, lower postoperative pain, and reduced postoperative length of stay. Nonetheless, EVH has been used less frequently in lower extremity bypass.…”

mentioning

confidence: 99%

Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia

Santo

Dargon

Azarbal

et al. 2014

Journal of Vascular Surgery

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OVH and EVH have similar failure mechanisms, limb salvage, amputation-free survival, and overall survival. EVH is associated with impaired patency, increased need for intervention, longer operative times, shorter hospital stays, and decreased vein harvest site wound complications. OVH of the great saphenous vein may provide optimal patency but was not necessarily associated with better patient-centered outcomes. Similar limb salvage rates and amputation-free survival may justify the use of EVH, despite inferior patency, to capture shorter hospital stays and decreased wound complications.

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mentioning

confidence: 99%

Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia

Santo

Dargon

Azarbal

et al. 2014

Journal of Vascular Surgery

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“…The harvest technique has a contributory role in the development of leg wound SSI. The open harvest approach increases the risk for SSI compared with the EVH technique [8,9,15]. However, some studies report that the EVH technique might impair graft patency [8,26].…”

Section: Discussionmentioning

confidence: 99%

“…The survey was sent to all OT nurses and surgeons, since it was not possible to select only those who performed CABG. The study-specific questionnaires were based on both existing research [1,2,8,9,11,[14][15][16][17][18] and the authors' own clinical experience as OT nurses, a nurse, and a cardiothoracic surgeon.…”

Section: Questionnairesmentioning

confidence: 99%

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Perioperative routines and surgical techniques for saphenous vein harvesting in CABG surgery: a national cross-sectional study in Sweden

Larsson

Nyman

Friberg

et al. 2020

J Cardiothorac Surg

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Background: The saphenous vein is the most commonly used conduit for coronary artery bypass grafting (CABG). Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2 to 20%. Patients' risk factors, perioperative hygiene routines, and surgical technique play important roles in wound complications. Here we describe the perioperative routines and surgical methods of Swedish operating theatre (OT) nurses and cardiac surgeons. Methods: A national cross-sectional survey with descriptive design was conducted to evaluate perioperative hygiene routines and surgical methods associated with saphenous vein harvesting in CABG. A web-based questionnaire was sent to OT nurses and cardiac surgeons at all eight hospitals performing CABG surgery in Sweden. Results: Responses were received from all hospitals. The total response rate was 62/119 (52%) among OT nurses and 56/111 (50%) among surgeons. Chlorhexidine 5 mg/mL in 70% ethanol was used at all eight hospitals. The OT nurses almost always (96.8%) performed the preoperative skin disinfection, usually for three to 5 minutes. Chlorhexidine was also commonly used before dressing the wound. Conventional technique was used by 78.6% of the surgeons, "no-touch" by 30.4%, and both techniques by 9%. None of the surgeons used endoscopic vein harvesting. Type of suture and technique used for closing the wound differed markedly between the centres. Conclusions: In this article we present insights into the hygiene routines and surgical methods currently used by OT nurses and cardiac surgeons in Sweden. The results indicate both similarities and differences between the centres. Local traditions might be the most important factors in determining which procedures are employed in the OT. There is a lack of evidence-based hygiene routines and surgical methods.

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“…Послеоперационные инфекции при применении эндоскопии во время выделения вен, по данным разных авторов, встречаются в 2-10% наблюдений [18,26]. Также у а рис.…”

Section: осложнения эндоскопических методов выделения большой подкожнunclassified

Endoscopic harvesting of great saphenous vein for coronary artery bypass grafting

Vechersky¹,

Затолокин²,

Петлин³

et al. 2016

Khir. Z. im. N.I. Pirogova

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A randomized study comparing three groups of vein harvesting methods for coronary artery bypass grafting: endoscopic harvest versus standard bridging and open techniques

Abstract: This study demonstrates that MIVH reduces wound morbidity. We believe that each technique has advantages and disadvantages, which should be considered during the selection of a harvesting procedure by both the patient and the surgeon.

Cited by 37 publications

References 14 publications

Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia

Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia

Perioperative routines and surgical techniques for saphenous vein harvesting in CABG surgery: a national cross-sectional study in Sweden

Endoscopic harvesting of great saphenous vein for coronary artery bypass grafting

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