JTCS Speed Up Your Browser
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correction (v123,p1224)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Bob Kiaii
Yves Langlois
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kiaii, B.
Right arrow Articles by Guo, L. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kiaii, B.
Right arrow Articles by Guo, L. R.
Related Collections
Right arrow Coronary disease

J Thorac Cardiovasc Surg 2002;123:204-212
© 2002 The American Association for Thoracic Surgery

Cardiopulmonary Support and Physiology (CSP)

A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery

Bob Kiaii, MDa, Byung C. Moon, MDa, David Massel, MDb, Yves Langlois, MDd, Thomas W. Austin, MDb, Andrea Willoughby, RNa, C. Guiraudon, MDc, Craig R. Howard, MDa, L. Ray Guo, MDa

From The Departments of Surgery,a Medicine,b and Pathology,c University of Western Ontario, London, Ontario, Canada, and the Department of Surgery,c Jewish General Hospital, Montreal, Quebec, Canada.

Received for publication July 5, 2000. Revisions requested Sept 25, 2000; revisions received June 11, 2001. Accepted for publication June 18, 2001. Address for reprints: Byung C. Moon, MD, Division of Cardiovascular Surgery, London Health Sciences Centre, Room C110, 370 South St, London, Ontario, Canada N6B 1B8 (E-mail: moonb{at}lhsc.on.ca).

Objectives: Our objectives were (1) to determine whether minimally invasive endoscopic harvesting of the saphenous vein reduces morbidity due to postoperative wound infection and pain with improved cosmetic results and mobilization as compared with the conventional technique and (2) to compare the histologic properties of the saphenous veins harvested conventionally and endoscopically.
Methods: One hundred forty-four patients undergoing coronary artery bypass grafting were randomized to have vein harvesting performed by either the conventional (n = 72) or an endoscopic (n = 72) minimally invasive technique.
Results: Vein harvest time (open leg wound time) was significantly reduced in the endoscopic group (27.6 vs 64.4 minutes; P < .0001). The rate of leg wound infection was significantly reduced in the endoscopic group (4.3%) as compared with the conventional group (24.6%), a relative risk reduction of 83% (95% confidence interval: 36%-129%; P = .0006). The majority of infections (84.2%) occurred after hospital discharge. Postoperative leg pain, mobilization, and overall patient satisfaction were also significantly improved in the endoscopic group. Double blinded histologic assessment of harvested vein (n = 28) showed no evidence of any clinically important significant damage to the specimens in either group.
Conclusions: In this prospective randomized trial, endoscopic harvesting of the saphenous vein significantly reduced postoperative leg wound complications, including infection, and improved patient satisfaction as compared with the conventional harvesting technique. There were no significant histologic differences between the conventional and endoscopically harvested saphenous veins.




This article has been cited by other articles:


Home page
 INT J LOW EXTREM WOUNDSHome page
J. F. Reed
Leg Wound Infections Following Greater Saphenous Vein Harvesting: Minimally Invasive Vein Harvesting Versus Conventional Vein Harvesting
International Journal of Lower Extremity Wounds, December 1, 2008; 7(4): 210 - 219.
[Abstract] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
N. Zimmermann, E. Gams, and T. Hohlfeld
Aspirin in coronary artery bypass surgery: new aspects of and alternatives for an old antithrombotic agent.
Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 93 - 108.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Rao, O. Aziz, S. Deeba, A. Chow, C. Jones, Z. Ni, L. Papastavrou, S. Rahman, A. Darzi, and T. Athanasiou
Is minimally invasive harvesting of the great saphenous vein for coronary artery bypass surgery a cost-effective technique?
J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 809 - 815.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
K. R Vaidyanathan, M. N Sankar, and K. M Cherian
Endoscopic vs Conventional Vein Harvesting: a Prospective Analysis
Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 134 - 138.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. N. Brown, Z. N. Kon, R. Tran, N. S. Burris, J. Gu, P. Laird, P. S. Brazio, S. Kallam, K. Schwartz, L. Bechtel, et al.
Strategies to reduce intraluminal clot formation in endoscopically harvested saphenous veins.
J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1259 - 1265.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K.-M. Chiu, T.-Y. Lin, M.-J. Wang, and S.-H. Chu
Reduction of carbon dioxide embolism for endoscopic saphenous vein harvesting.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1697 - 1699.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
O. Aziz, T. Athanasiou, and A. Darzi
Minimally invasive conduit harvesting: a systematic review
Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 324 - 333.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Zafar, A. John, Z. Khan, S. M. Allen, A. J. Marchbank, C. T. Lewis, M. J.R. Dalrymple-Hay, J. Kuo, and J. Unsworth-White
Single-Layer Versus Multiple-Layer Closure of Leg Wounds After Long Saphenous Vein Harvest: A Prospective Randomized Trial
Ann. Thorac. Surg., December 1, 2005; 80(6): 2162 - 2165.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Aziz, T. Athanasiou, S. S. Panesar, R. Massey-Patel, O. Warren, J. Kinross, S. Purkayastha, R. Casula, B. Glenville, and A. Darzi
Does Minimally Invasive Vein Harvesting Technique Affect the Quality of the Conduit for Coronary Revascularization?
Ann. Thorac. Surg., December 1, 2005; 80(6): 2407 - 2414.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. V. Manchio, J. Gu, L. Romar, J. Brown, J. Gammie, R. N. Pierson III, B. Griffith, and R. S. Poston
Disruption of Graft Endothelium Correlates With Early Failure After Off-Pump Coronary Artery Bypass Surgery
Ann. Thorac. Surg., June 1, 2005; 79(6): 1991 - 1998.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Wang, H. Tang, V. Wilkinson, T. Lukat, E. T. Gelfand, A. Koshal, D. L. Modry, J. C. Mullen, C. Hao, and B. A. Finegan
Saphenous Vein Harvest With SaphLITE System Versus Conventional Technique: A Prospective, Randomized Study
Ann. Thorac. Surg., June 1, 2005; 79(6): 2018 - 2023.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
K. L. Yun, Y. Wu, V. Aharonian, P. Mansukhani, T. A. Pfeffer, C. F. Sintek, G. S. Kochamba, G. Grunkemeier, and S. Khonsari
Randomized trial of endoscopic versus open vein harvest for coronary artery bypass grafting: Six-month patency rates
J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 496 - 503.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Z. Davis, D. Garber, S. Clark, H. Roth, V. Bufalino, M. J. Budoff, S. Mao, and H. K. Jacobs
Long-term patency of coronary grafts with endoscopically harvested saphenous veins determined by contrast-enhanced electron beam computed tomography
J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 823 - 828.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Athanasiou, O. Aziz, P. Skapinakis, B. Perunovic, J. Hart, M.-C. Crossman, V. Gorgoulis, B. Glenville, and R. Casula
Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting
Ann. Thorac. Surg., December 1, 2003; 76(6): 2141 - 2146.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
T.-Y. Lin, K.-M. Chiu, M.-J. Wang, and S.-H. Chu
Carbon dioxide embolism during endoscopic saphenous vein harvesting in coronary artery bypass surgery
J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 2011 - 2015.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. A. Olsen, T. M. Sundt, J. S. Lawton, R. J. Damiano Jr, D. Hopkins-Broyles, P. Lock-Buckley, and V. J. Fraser
Risk factors for leg harvest surgical site infections after coronary artery bypass graft surgery
J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 992 - 999.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. Garland, F.A. Frizelle, B.R. Dobbs, and H. Singh
A retrospective audit of long-term lower limb complications following leg vein harvesting for coronary artery bypass grafting
Eur. J. Cardiothorac. Surg., June 1, 2003; 23(6): 950 - 955.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
Y. J. Woo and T. J. Gardner
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 by The American Association for Thoracic Surgery.