Endoscopic Pedicle Saphenous Vein Graft Harvesting

The excellent long-term patency of no-touch (NT) saphenous vein grafts (SVGs) makes the grafts very attractive for coronary artery bypass grafting; however, NT-SVG harvesting has a greater incidence of wound complications than conventional methods. Since 2009, we have performed endoscopic vein harve...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2024/01/25, Vol.30(1), pp.nm.23-00054
Main Authors: Katayama, Yuji, Miho, Takahiro, Nogami, Eijiro, Hamada, Kohei, Shichijo, Masahide, Shimauchi, Kouta, Kamohara, Keiji
Format: Article
Language:English
Subjects:
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - methods
coronary artery bypass grafting
endoscopic vein harvesting
Endoscopy - adverse effects
Endoscopy - methods
Humans
New Method
no-touch saphenous vein graft
Pedicle-EVH
Saphenous Vein - transplantation
Tissue and Organ Harvesting - adverse effects
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures - methods
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Summary:The excellent long-term patency of no-touch (NT) saphenous vein grafts (SVGs) makes the grafts very attractive for coronary artery bypass grafting; however, NT-SVG harvesting has a greater incidence of wound complications than conventional methods. Since 2009, we have performed endoscopic vein harvesting (EVH) in our department with very few major wound complications. Because NT-SVG harvesting is expected to provide long-term patency, if performed with EVH, the incidence of wound complications will be reduced. Thus, we began performing endoscopic pedicle SVG harvesting (Pedicle-EVH) in March 2019. Herein, we report the early results obtained using our current Pedicle-EVH procedure. No major wound complications were reported, and the early results, including patency, were satisfactory. To harvest the pedicle SVG, however, we used a different method than the NT-SVG procedure, so careful monitoring will be needed to assess long-term outcomes.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.nm.23-00054