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Ann Thorac Surg 2005;80:2407-2414
© 2005 The Society of Thoracic Surgeons

Review

Does Minimally Invasive Vein Harvesting Technique Affect the Quality of the Conduit for Coronary Revascularization?

Omer Aziz, MRCS, Thanos Athanasiou, PhD, FETCS * , Sukhmeet Singh Panesar, BS, Rachel Massey-Patel, MBBS, Oliver Warren, MBBS, James Kinross, MRCS, Sanjay Purkayastha, MRCS, Roberto Casula, FETCS, Brian Glenville, FRCS, Ara Darzi, KBE, FRCS

Departments of Cardiothoracic Surgery and Surgical Oncology and Technology, Imperial College of Science, Technology and Medicine, St. Mary's Hospital, London, United Kingdom

Accepted for publication April 5, 2005.

* Address correspondence to Dr Athanasiou, Department of Cardiothoracic Surgery, St. Mary's Hospital, 70 St Olaf's Rd, Fulham, London, SW6 7DN UK (Email: tathan5253{at}aol.com).

The effect of minimally invasive great saphenous vein harvest on patient morbidity (wound infection and other healing disturbances) has been extensively investigated, yet its impact on the quality of the venous conduit is less well known. This study aims to review the literature with regard to macroscopic quality, postoperative myocardial infarction rates, and angiographic patency of the minimally invasive versus conventionally harvested vein using meta-analytic techniques where appropriate. Results suggest that conduits are comparable in macroscopic quality with minimally invasively harvested veins requiring more repairs prior to grafting. Postoperative myocardial infarction rates were not significantly different between groups, which is supported by the limited evidence on angiographic patency.




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