ATS
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 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):
Lewis L. Newman
James E. Lowe
Peter K. Smith
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 Hayward, T. Z.
Right arrow Articles by Smith, P. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hayward, T. Z., III
Right arrow Articles by Smith, P. K.

Ann Thorac Surg 1999;68:2107-2110
© 1999 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Endoscopic versus open saphenous vein harvest: the effect on postoperative outcomes

Thomas Z. Hayward, III, MDa, Lloyd A. Hey, MDa, Lewis L. Newman, PA-Ca, Francis G. Duhaylongsod, MDa, Katharine A. Haywarda, James E. Lowe, MDa, Peter K. Smith, MDa

a Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA

Address reprint requests to Dr Hayward, Department of Surgery, Duke University Medical Center, PO Box 31091, Durham, NC 27710;
e-mail: haywa001{at}mc.duke.edu

Presented at the Forty-fifth Annual Meeting of the Southern Thoracic Surgical Association, Orlando, FL Nov 12–14, 1998.

Background. Endoscopic vein harvest (EVH) has been promoted as a possible solution to the wound complications, incisional pain, and prolonged convalesce associated with open vein harvesting (OVH). The purpose of this study was to objectively compare the two techniques.

Methods. One hundred patients were prospectively randomized to EVH or OVH. Primary outcomes were wound complications, pain (Medical Outcomes Study Pain Survey), and general health (SF-12). Secondary outcomes were operative times and patient preferences. Patients were assessed at hospital discharge, 3, and 6 weeks postdischarge.

Results. No significant differences were detected in the primary outcomes: leg infection (p = 0.75), incisional pain (p = 0.74), physical health (p = 0.84), mental health (p = 0.47), and postoperative length of stay (p = 0.74). However, patient preference for EVH was highly significant (p < 0.01).

Conclusions. EVH does not demonstrate significant differences compared with OVH. This, coupled with higher operating room costs, should limit its use until clinical benefit is shown. However, strong patient preference and demand for EVH overshadow equivocal clinical outcomes.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
L. J. Rousou, K. B. Taylor, X.-G. Lu, N. Healey, M. D. Crittenden, S. F. Khuri, and H. S. Thatte
Saphenous Vein Conduits Harvested by Endoscopic Technique Exhibit Structural and Functional Damage
Ann. Thorac. Surg., January 1, 2009; 87(1): 62 - 70.
[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
 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
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
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
 Eur. J. Cardiothorac. Surg.Home page
T. Athanasiou, O. Aziz, S. Al-Ruzzeh, P. Philippidis, C. Jones, S. Purkayastha, R. Casula, and B. Glenville
Are wound healing disturbances and length of hospital stay reduced with minimally invasive vein harvest? A meta-analysis
Eur. J. Cardiothorac. Surg., November 1, 2004; 26(5): 1015 - 1026.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. Bonde, A. N. J. Graham, and S. W. MacGowan
Endoscopic vein harvest: advantages and limitations
Ann. Thorac. Surg., June 1, 2004; 77(6): 2076 - 2082.
[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
B. Kiaii, B. C. Moon, D. Massel, Y. Langlois, T. W. Austin, A. Willoughby, C. Guiraudon, C. R. Howard, and L. R. Guo
A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery
J. Thorac. Cardiovasc. Surg., February 1, 2002; 123(2): 204 - 212.
[Abstract] [Full Text] [PDF]


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 © 1999 by The Society of Thoracic Surgeons.