Endoscopic Versus “No-Touch” Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: A Trade-Off Between Wound Healing and Graft Patency
The advantage in terms of wound infection, wound healing, and scarring has resulted in the recent adoption of endoscopic vein harvesting (EVH) as a standard of care for coronary artery bypass grafting in some centers. However, concerns regarding the quality of these grafts have been raised after rec...
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| Veröffentlicht in: | Angiology 2016-02, Vol.67 (2), p.121-132 |
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| creator | Kopjar, Tomislav Dashwood, Michael R. |
| description | The advantage in terms of wound infection, wound healing, and scarring has resulted in the recent adoption of endoscopic vein harvesting (EVH) as a standard of care for coronary artery bypass grafting in some centers. However, concerns regarding the quality of these grafts have been raised after recent evidence of decreased graft patency, increased reoperation rate, and myocardial infarct, problems that are associated with vascular trauma caused when using this technique. Simultaneously, an atraumatic, “no-touch” technique for harvesting the saphenous vein was developed producing grafts with improved patency comparable to the internal thoracic artery. However, wound complications remain a problem using this technique. This review outlines the need to consider the poor graft quality that may result from EVH and raises the question what is likely to be the “best practice principle” in saphenous vein harvesting? |
| doi_str_mv | 10.1177/0003319715584126 |
| format | Article |
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| ispartof | Angiology, 2016-02, Vol.67 (2), p.121-132 |
| issn | 0003-3197 1940-1574 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Coronary Artery Bypass - adverse effects Coronary Artery Bypass - economics Coronary Artery Disease - economics Coronary Artery Disease - surgery Cost-Benefit Analysis Endoscopy - adverse effects Endoscopy - economics Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - physiopathology Health Care Costs Humans Risk Factors Saphenous Vein - physiopathology Saphenous Vein - transplantation Surgical Wound Infection - etiology Tissue and Organ Harvesting - adverse effects Tissue and Organ Harvesting - economics Tissue and Organ Harvesting - methods Treatment Outcome Vascular Patency Wound Healing |
| title | Endoscopic Versus “No-Touch” Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: A Trade-Off Between Wound Healing and Graft Patency |
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