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Endoscopic vs open saphenous vein harvest for coronary artery bypass grafting: a leg-related morbidity and histological comparison
R. Brat, J. Horacek, J. Sieja
Language English Country Czech Republic
Document type Comparative Study, Journal Article, Research Support, Non-U.S. Gov't
Grant support
NS10611
MZ0
CEP Register
Digital library NLK
Full text - Article
Source
NLK
Directory of Open Access Journals
from 2001
Free Medical Journals
from 1998
Medline Complete (EBSCOhost)
from 2007-06-01
ROAD: Directory of Open Access Scholarly Resources
from 2001
PubMed
22660231
DOI
10.5507/bp.2012.011
Knihovny.cz E-resources
- MeSH
- Angioscopy * MeSH
- Hematoma etiology MeSH
- Coronary Artery Bypass adverse effects methods MeSH
- Middle Aged MeSH
- Humans MeSH
- Tissue and Organ Harvesting adverse effects methods MeSH
- Pain, Postoperative etiology MeSH
- Prospective Studies MeSH
- Risk Factors MeSH
- Aged MeSH
- Saphenous Vein transplantation ultrasonography MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Comparative Study MeSH
AIMS: The aim of this study was to compare coronary artery bypass grafting (CABG) using either endoscopic (EVH) or open harvest (OVH). Leg-related morbidity and histological comparison of the veins were the outcome measures. METHODS: One hundred consecutive patients scheduled for isolated CABG were randomly divided into two goups: an EVH and OVH group. Perioperative data were recorded. Patients were examined 7 days and 1 month postoperatively for leg-related morbidity. Samples for histological examination were taken from each harvested vein during the surgery. RESULTS: Postoperative pain was statistically significantly lower in the EVH group 7 days postoperatively but the incidence of haematoma was non statistically higher in the EVH group while swelling was higher in the OVH group. Almost 40% of all histological samples were described as showing endothelial damage. There was significantly more endothelial damage in the EVH than the OVH group. CONCLUSIONS: We confirmed the advantage of EVH in terms of leg-related morbidity as well as cosmetic effect. This method however, was associated with more acute endothelial damage of the graft. These results support concerns that endoscopic vein harvest may be connected with detrimental effects on vein endothelium which could promote a thrombogenic environment leading to a decrease in graft patency. This could be extremely important. The results suggest that further investigation of the long-term patency of vein grafts harvested endoscopically is required.
References provided by Crossref.org
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