scholarly journals The Impact of Vein Harvesting Technique on Wound Complications and Graft Patency after Infrainguinal Arterial Bypass

2014 ◽  
Vol 60 (2) ◽  
pp. 537
Author(s):  
Pedro G. Teixeira ◽  
Karen Woo ◽  
Fred Weaver ◽  
Vincent L. Rowe
Keyword(s):  
Graft Patency ◽  
Wound Complications ◽  
Arterial Bypass ◽  
Harvesting Technique ◽  
The Impact ◽  
Vein Harvesting

scholarly journals Increased patency with comparable mortality and revascularization risk: Is the case for no-touch vein harvesting open and shut?

2021 ◽  
Author(s):  
Makoto Hibino ◽  
Nitish Dhingra ◽  
Subodh Verma
Keyword(s):  
Graft Failure ◽  
Saphenous Vein Graft ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Wound Complications ◽  
Graft Occlusion ◽  
Randomized Controlled ◽  
All Cause Mortality ◽  
The Impact ◽  
Vein Harvesting

Since the introduction of the saphenous vein graft (SVG) for coronary artery bypass grafting (CABG) in 19621, the SVG has remained the most commonly used conduit to the non-LAD territories for more than half a century. However, several issues surrounding the use of SVGs, including higher graft occlusion rates and wound complications from the harvesting process, have been identified in clinical practice. As such, significant interest has been dedicated towards developing harvesting techniques that minimize the risk of these acute and late complications. In this issue of the Journal of Cardiac Surgery, Yokoyama and colleagues compared the impact of open vein harvesting (OVH), endoscopic vein harvesting (EVH) and no-touch vein harvesting (NT) on all-cause mortality, revascularization and graft failure, using a network meta-analysis based on randomized controlled trials and propensity-score matched studies. The results showed that the risk of graft failure was approximately halved amongst patients receiving NT compared with EVH and OVH; importantly, though, NT was not associated with lower all-cause mortality or revascularization risk. To further examine whether the use of NT grafts endow patients with better long-term clinical outcomes, such as mortality, myocardial infarction, and revascularization rates, a large-scaled randomized controlled trial or a patient-level combined meta-analysis is required.

scholarly journals Leg Wound Complications: A Comparison Between Endoscopic and Open Saphenous Vein Harvesting Techniques

2021 ◽  
Vol 24 (4) ◽  
pp. E604-E610
Author(s):  
Yasser Mubarak ◽  
Ahmed Abdeljawad
Keyword(s):  
Saphenous Vein ◽  
Saphenous Vein Graft ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Group Versus ◽  
Early Mobilization ◽  
Wound Complications ◽  
Endoscopic Vein Harvesting ◽  
Harvesting Technique ◽  
Vein Harvesting

Background: The most common conduit for coronary artery bypass graft (CABG) surgery is saphenous vein graft (SVG). There are two techniques for SVG harvesting: open and endoscopic. Our aim is to evaluate clinical results of endoscopic versus open SVG harvesting. Nowadays, endoscopic vein harvesting (EVH) has become prevalent because of reduced complications with more patient satisfaction. Objective: We designed and performed a prospective randomized cohort study of patients undergoing CABG to compare the results of open versus endoscopic harvesting technique. Methods: Patients who underwent elective CABG at our hospitals were divided into two groups, during the period of January 2019 to March 2021. The EVH group (50 patients) underwent endoscopic technique compared with the open vein harvesting (OVH) group (50 patients) that was underwent open surgical incision for great saphenous vein (GSV) harvesting. The two groups demographically were similar and received identical management. Leg wound was evaluated at discharge, two weeks, and four weeks for evidence of any complications. Early outcomes were recorded, including infection, gaped wound and surgical re-suture, degree of pain, level of cosmetic satisfaction, and early mobilization. Results: In the EVH group, harvesting time increased, and incision closure time decreased in comparison with OVH. The hospital stay was 5.5 ± 2.4 days in the EVH group versus 9.5 ± 2.7 days in the OVH group. Leg wound complications were significantly reduced in the EVH group in comparison with the OVH group. Conclusions: Endoscopic vein harvesting technique reduced leg wound complications. Conveniently, patients also were cosmetically satisfied.

A Novel Technique of Endoscopic Vein Harvesting With Preserved Perivascular Tissue

2020 ◽  
Vol 15 (5) ◽  
pp. 475-477
Author(s):  
Kunihiko Yoshino ◽  
Kohei Abe ◽  
Koyu Suzuki ◽  
Rihito Tamaki ◽  
Atusyuki Mituishi ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Histopathological Examination ◽  
Wound Complications ◽  
Connective Tissues ◽  
Endoscopic Vein Harvesting ◽  
Harvesting Technique ◽  
A New Technique ◽  
Vein Harvesting ◽  
The Ideal

The no-touch saphenous vein harvesting technique is considered to be the ideal procedure to achieve the best quality of vein, whereas the endoscopic vein harvesting (EVH) technique is considered to be ideal for decreasing wound complications. We developed a new technique of EVH with perivascular tissue preservation. This procedure was performed by dissecting the immediate anterior and posterior perivascular connective tissues of the saphenous vein followed by cutting approximately 1 cm laterally from the saphenous vein with the use of a harvester (MAQUET Getinge Group, Getinge AB, Göteborg, Sweden). Histopathological examination revealed preserved perivascular tissue and intimal folding.

“Over-the-Wire” Inversion Saphenectomy:A Simple, Minimally Invasive Vein Harvesting Technique for Arterial Bypass

2005 ◽  
Vol 12 (3) ◽  
pp. 394-400 ◽  
Author(s):  
Bradley B. Hill ◽  
Rishad M. Faruqi ◽  
Frank R. Arko ◽  
Christopher K. Zarins ◽  
Thomas J. Fogarty
Keyword(s):  
Minimally Invasive ◽  
Arterial Bypass ◽  
Harvesting Technique ◽  
The Wire ◽  
Vein Harvesting

Endoscopic Saphenous Vein Harvesting for Hemodialysis Vascular Access Creation in the Forearm: A New Approach for Arteriovenous Bridge Graft

2003 ◽  
Vol 4 (3) ◽  
pp. 98-101 ◽  
Author(s):  
T. Oto
Keyword(s):  
Vascular Access ◽  
Saphenous Vein ◽  
Prosthetic Graft ◽  
Wound Complications ◽  
Ptfe Graft ◽  
New Approach ◽  
Av Fistula ◽  
Harvesting Technique ◽  
Hemodialysis Vascular Access ◽  
Vein Harvesting

When superficial arm veins are not suitable to create a native arteriovenous (AV) fistula, an arteriovenous bridge graft by native and/or prosthetic graft is the next best alternative. However, harvesting a native vein, such as the saphenous vein (SV), is invasive and requires a large incision. We report an endoscopic saphenous vein harvesting (ESVH) technique combined with forearm bridge grafting as a new approach for vascular access (VA). Methods We used the Clearglide, Endoscopic Vessel Harvesting System (Eticon, Inc.) for a less invasive SV harvesting technique. Five patients had a SV graft implant and 10 patients had a polytetrafluoroethylene (PTFE) graft implant in the forearm. Results The SV was harvested easily in all patients in 46 ± 2 min. There were no wound complications. All SV and PTFE grafts provided satisfactory access within 1 month; however, two declotting procedures in the SV group and five in the PTFE group were required. The PTFE group had two graft infections. Conclusions It is possible that a combination of ESVH and SV forearm grafting will be one of the new approaches for hemodialysis (HD) access.

scholarly journals Effect of Endoscopic Versus Open Saphenous Vein Harvesting Technique on Leg Wound Complications

2020 ◽  
Author(s):  
Yasser Mubarak
Keyword(s):  
Saphenous Vein ◽  
Artery Bypass ◽  
Wound Complications ◽  
Endoscopic Vein Harvesting ◽  
Patient’S Satisfaction ◽  
Harvesting Technique ◽  
Incision Location ◽  
Open Versus ◽  
A Prospective Study ◽  
Vein Harvesting

Background: EVH has become prevalent in recent years due to its reduced morbidity and increased patient satisfaction. We designed and carried out a prospective study of patients undergoing CABG to compare outcomes of open versus endoscopic harvesting technique for great saphenous vein. Two groups of patients who underwent elective Coronary artery bypass grafting at our hospitals between January 2018 and October 2020 were included. Endoscopic vein harvesting group (50 patients) was performed endoscopic technique compared with Open Vein Harvesting group (50 patients) was performed open surgical incision for harvesting. Both groups were demographically similar and received identical management. Leg wound was evaluated at discharge, 2 weeks, and 4 weeks for evidence of complications. Early outcomes were compared included, infection, gaped wound and re-suture, pain, satisfied cosmetically and mobilization. Results: Endoscopic vein harvesting group had increased harvest time and decreased incision closure time when compared with Open Vein Harvesting. The average hospitalization time was 6.5 ± 2.2 days for Endoscopic vein harvesting group and 9.2 ± 2.9 days for Open Vein Harvesting group. In Endoscopic vein harvesting group, no significant hematomas were observed. In Open Vein Harvesting group, hematomas were detected in 2 patients and were surgically evacuated. In Endoscopic vein harvesting group, edema occurred less frequently. Infection of the incision location did not occur in Endoscopic vein harvesting group. Leg wound complications were significantly reduced in Endoscopic vein harvesting group in comparison with Open Vein Harvesting group. Conclusions: Endoscopic vein harvesting decreases leg wound complications and increases patient’s satisfaction cosmetically.

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