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Ann Thorac Surg 2010;90:1743. doi:10.1016/j.athoracsur.2010.07.019
© 2010 The Society of Thoracic Surgeons
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Maral Ouzounian
Imtiaz S. Ali
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Correspondence

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Maral Ouzounian, MD, Karen J. Buth, MS, Imtiaz S. Ali, MD

Division of Cardiac Surgery, Faculty of Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, 1796 Summer St, Room 2263, Halifax, Nova Scotia, B3H 3A7 Canada

(Email: imtiaz.ali{at}dal.ca).

To the Editor:

We appreciate the comments by Drs Kirmani and Zacharias [1] on our article examining outcomes after endoscopic versus traditional saphenous vein harvesting for coronary bypass grafting [2]. The authors reviewed their own experience with endoscopic harvesting and found no difference in mid-term outcomes of mortality, angina, or readmission. Although the full details of the analysis are not known, the authors examined the first 89 patients receiving endoscopic vein grafts at their institution, and these results speak to the safety of this technique, even at the early stages of the learning curve. A definitive answer will await a large, prospective, randomized trial, but until that time, surgeons must rely on observational data and should be encouraged to examine their outcomes locally.


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  1. Kirmani B, Zacharias J. Endoscopic vein harvesting: does the learning curve influence outcomes? Ann Thorac Surg 2010;90:1743.[Free Full Text]
  2. Ouzounian M, Hassan A, Buth KJ, et al. Impact of endoscopic versus open saphenous vein harvest techniques on outcomes after coronary artery bypass grafting Ann Thorac Surg 2010;89:403-408.[Abstract/Free Full Text]

Related Article

Endoscopic Vein Harvesting: Does the Learning Curve Influence Outcomes?
Bilal Kirmani and Joseph Zacharias
Ann. Thorac. Surg. 2010 90: 1743. [Extract] [Full Text] [PDF]




This Article
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Maral Ouzounian
Imtiaz S. Ali
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