Endoscopic Pedicle Saphenous Vein Graft Harvesting
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- Katayama Yuji
- Department of Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka, Japan
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- Miho Takahiro
- Department of Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka, Japan
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- Nogami Eijiro
- Department of Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka, Japan
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- Hamada Kohei
- Department of Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka, Japan
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- Shichijo Masahide
- Department of Cardiovascular Surgery, Ureshino Medical Center, Ureshino, Saga, Japan
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- Shimauchi Kouta
- Department of Cardiovascular Surgery, Oosumikanoya Hospital, Kanoya, Kagoshima, Japan
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- Kamohara Keiji
- Department of Thoracic and Cardiovascular Surgery, Saga University School of Medicine, Saga, Saga, Japan
Abstract
<p>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.</p>
Journal
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 30 (1), n/a-, 2024-01-25
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery