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Ann Thorac Surg 2010;89:408-409. doi:10.1016/j.athoracsur.2009.11.004
© 2010 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Thanos Athanasiou, MD, PhD

Department of Biosurgery-Surgical Technology and Surgical Epidemiology Unit, Imperial College London, St. Mary's Hospital, London, W2 1NY United Kingdom

(Email: t.athanasiou@imperial.ac.uk; tathan5253@aol.com).

The first 20% of the full text of this article appears below.

Minimally invasive harvesting (MIVH) of the great saphenous vein for coronary artery bypass grafting (CABG) has been shown to reduce patient-related morbidity in the postoperative period as compared with conventional vein harvesting (CVH), and can be considered to be a cost-effective option. Although the effect of MIVH on patient morbidity from wound-related complications has been extensively investigated in the literature, the effect on the quality of the harvested conduit is less clear [1, 2]. However, before attempting this comparison, it is important to consider the characteristics that would be expected of a high-quality conduit, namely its macroscopic appearance, histologic quality (with particular regard to endothelial continuity), functional characteristics, and mid-term and long-term patency [3]. The ultimate measure of quality of a conduit used for CABG is its long-term patency reassuring an optimal clinical outcome . . . [Full Text of this Article]


Related Article

Impact of Endoscopic Versus Open Saphenous Vein Harvest Techniques on Outcomes After Coronary Artery Bypass Grafting
Maral Ouzounian, Ansar Hassan, Karen J. Buth, Celeste MacPherson, Idris M. Ali, Gregory M. Hirsch, and Imtiaz S. Ali
Ann. Thorac. Surg. 2010 89: 403-408. [Abstract] [Full Text] [PDF]



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M. Ouzounian, K. J. Buth, and I. S. Ali
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Ann. Thorac. Surg., September 1, 2010; 90(3): 1059 - 1060.
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