Learning process and results in endoscopic saphenous vein harvesting technique

Erden, Tuncay; Gültekin, Yıldırım

doi:10.28982/josam.969519

Cited by 2 publications

(1 citation statement)

References 41 publications

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“…Likewise, a sub-analysis of 1,471 patients, who underwent CABG with the use of SVG, comparing EVH and open techniques from the ROOBY trial, showed no significant differences between groups in terms of death or major perioperative complications including reoperation, new mechanical support, cardiac arrest, coma, stroke, or renal failure requiring dialysis 17 . Interestingly enough however, in the subgroup of 894 patients with 1-year angiographic follow-up, SVG patency for EVH versus open technique was 74.5% and 85.2%, respectively 18 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Saphenous Vein Harvesting and Surgical Site Infections after Coronary Artery Bypass Surgery (CABG)

Ali¹,

Ahmed²,

Shah³

2022

PJMHS

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Introduction: Coronary artery bypass grafting (CABG) surgery remains the most common procedure in adult cardiac surgery for coronary artery disease. Objectives: The main objective of the study is to find the infection in open vs endoscopic saphenous vein harvest for patients undergoing CABG surgery. Material and method: This comparative analysis was conducted at Rawalpindi Institute of Cardiology, Armed Forces Institute of Cardiology, Rawalpindi and Shifa International Hospital, Islamabad from October 2019 to 2021. The data was collected with the permission of the ethical committee of hospital. The data was collected with the permission of the ethical committee of the hospital. Patients undergoing CABG or combined valve/CABG with EVH and OVH were differentiated from each other in the MHCCSR as of the start of the study period. The OVH was performed by either a continuous, longitudinal incision or through multiple smaller incisions. Results: The data were collected from 122 patients, from these 22 patients were not extubated and none of them survived. The most common indication for surgery was myocardial revascularization (30.6%), followed by valve replacement (22.7%) and thoracic aortic aneurysm repair. Practical implication: EVH is now considered not to be the best method in CABG surgery. Conclusion: It is concluded that, patients undergoing CABG surgery with EVH presented with worse systolic function and more recent myocardial infarction. Keywords: CABG, Procedure, EVH, Systolic, Myocardial infarction, Endoscopic

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Section: Discussionmentioning

confidence: 99%

Endoscopic Saphenous Vein Harvesting and Surgical Site Infections after Coronary Artery Bypass Surgery (CABG)

Ali¹,

Ahmed²,

Shah³

2022

PJMHS

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Does the experience of the endoscopic vein harvester matter to the quality of the vein conduit: A critical thematic literature review

Kay,

Abouelela,

Raaj

et al. 2024

Journal of Perioperative Practice

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Coronary artery bypass graft surgery remains the golden standard surgical option for multiple vessel disease. Harvesting the long saphenous vein using endoscopic vein harvesting requires advanced surgical skills dexterity, but the lack of a national standardised training programme allows for variance in the learning curve and the quality of the vein during the learning cycle is unknown. A search of bibliographic databases: CINHAL Plus, Embase, Pubmed and the Cochrane register for randomised controlled trials identified 11 articles eligible for review. The themes emerging were learning curve-associated injuries to the long saphenous vein, intimal wall remodelling of the long saphenous vein and incidence of graft patency rates. Harvesting practitioners with less than 100 cases of experience inflict more conduit injuries leading to endothelial remodelling and narrowed vein grafts at the six-month point resulting in lumen loss. Practitioners with more than 100 cases demonstrated reduced learning curve-related injuries on the conduit. Adopting a formalised structured training programme such as the Manchester Endoscopic Learning Tool has shown to reduce endothelial injury to the long saphenous vein minimising early vein graft failure during the learning cycle.

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Learning process and results in endoscopic saphenous vein harvesting technique

Abstract: All procedures in this study involving human participants were performed in accordance with the 1964 Helsinki Declaration and its later amendments.

Cited by 2 publications

References 41 publications

Endoscopic Saphenous Vein Harvesting and Surgical Site Infections after Coronary Artery Bypass Surgery (CABG)

Endoscopic Saphenous Vein Harvesting and Surgical Site Infections after Coronary Artery Bypass Surgery (CABG)

Does the experience of the endoscopic vein harvester matter to the quality of the vein conduit: A critical thematic literature review

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