Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse?
Conventional open harvest of the great saphenous vein (GSV) during CABG results in approximately 7% donor-site complications. Using endoscopic vein harvesting (EVH) the full GSV length can be harvested through a 3 cm incision. This nonsystematic review discusses several key issues concerning EVH, ba...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2011/813512 |
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| author | Ryan Accord Jos Maessen |
| author_facet | Ryan Accord Jos Maessen |
| author_sort | Ryan Accord |
| collection | DOAJ |
| description | Conventional open harvest of the great saphenous vein (GSV) during CABG results in approximately 7% donor-site complications. Using endoscopic vein harvesting (EVH) the full GSV length can be harvested through a 3 cm incision. This nonsystematic review discusses several key issues concerning EVH, based on an extensive Pubmed search. Found studies show that EVH results in reduced number of wound complications, less postoperative pain, earlier postoperative mobilisation, reduced length of hospital stay, and is more cost-effective. Initial studies did not find significant differences in graft histology, patency, or clinical outcome. However, in 2009 convincing evidence of inferior histological graft properties became available. Furthermore, an observational study showed that EVH resulted in significantly more graft stenosis, was associated with higher mortality, more myocard infarction, and more reinterventions. Most recent publications could not confirm these findings, however larger randomised controlled trials focusing on graft quality are being awaited. |
| format | Article |
| id | doaj-art-12bec44bbdb24c14a412ab9da60334d4 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-12bec44bbdb24c14a412ab9da60334d42025-02-03T05:51:38ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/813512813512Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse?Ryan Accord0Jos Maessen1Department of Cardiothoracic Surgery, University Hospital Maastricht, P.Debyelaan 25, 6229 HX Maastricht, The NetherlandsDepartment of Cardiothoracic Surgery, University Hospital Maastricht, P.Debyelaan 25, 6229 HX Maastricht, The NetherlandsConventional open harvest of the great saphenous vein (GSV) during CABG results in approximately 7% donor-site complications. Using endoscopic vein harvesting (EVH) the full GSV length can be harvested through a 3 cm incision. This nonsystematic review discusses several key issues concerning EVH, based on an extensive Pubmed search. Found studies show that EVH results in reduced number of wound complications, less postoperative pain, earlier postoperative mobilisation, reduced length of hospital stay, and is more cost-effective. Initial studies did not find significant differences in graft histology, patency, or clinical outcome. However, in 2009 convincing evidence of inferior histological graft properties became available. Furthermore, an observational study showed that EVH resulted in significantly more graft stenosis, was associated with higher mortality, more myocard infarction, and more reinterventions. Most recent publications could not confirm these findings, however larger randomised controlled trials focusing on graft quality are being awaited.http://dx.doi.org/10.4061/2011/813512 |
| spellingShingle | Ryan Accord Jos Maessen Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? Cardiology Research and Practice |
| title | Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? |
| title_full | Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? |
| title_fullStr | Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? |
| title_full_unstemmed | Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? |
| title_short | Endoscopic Vein Harvesting for Coronary Bypass Grafting: A Blessing or a Trojan Horse? |
| title_sort | endoscopic vein harvesting for coronary bypass grafting a blessing or a trojan horse |
| url | http://dx.doi.org/10.4061/2011/813512 |
| work_keys_str_mv | AT ryanaccord endoscopicveinharvestingforcoronarybypassgraftingablessingoratrojanhorse AT josmaessen endoscopicveinharvestingforcoronarybypassgraftingablessingoratrojanhorse |