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Title: Endoscopic Vein Harvesting: Technicality of the new plumbing tool for coronary artery bypass grafting
Authors: Sazzad, Md Faizus 
Issue Date: 1-Dec-2016
Publisher: National Heart Foundation Hospital & Research Institute, Dhaka
Citation: Sazzad, Md Faizus (2016-12-01). Endoscopic Vein Harvesting: Technicality of the new plumbing tool for coronary artery bypass grafting. Conference on Cardiovascular Disease, National Heart Foundation of Bangladesh. ScholarBank@NUS Repository.
Abstract: Objective: A significant advance in the performance of coronary bypass surgery has taken place over the past ten years with the advent of endoscopic vein harvesting. This minimally invasive technique is used to procure vein from the leg for creating the coronary bypass. This is a case series detailing the technicality of endoscopic vein harvesting procedure done during elective and/or emergency coronary revascularization surgery. Methods: From April 2014 to March 2016 we harvested endoscopically the long saphenous vein in thigh as well as the leg using the same entry point incision over the medial epicondyle in 108 cases. The only exclusion criterion for the study was a superficial location with extensive tributaries of the vein in the leg. We made 1 working port incision in each patient of average size 2. 5 cm in length. Results: Conversion to the open interrupted technique was done in 2 cases due to ruptured side branch bleeding. The average harvest time was 53±9 minutes. Average length of the conduit was 40±6 cm. There was 1 minor wound infection, 1 case of superficial wound dehiscence, 1 haematoma requiring aspiration and minor erythema at the incision site was in 6 patients. In 16 patients there was ecchymosis along the long saphenous vein course (11 thigh; 5 leg). None of the patient developed lymphoedema and none required re-exploration or re-hospitalization for vein harvest related complications. Conclusions: Endoscopic vein harvesting procedure during elective or emergency CABG surgery is a powerful, safe and valid alternative to open vein harvesting technique.
Source Title: Conference on Cardiovascular Disease, National Heart Foundation of Bangladesh
Appears in Collections:Staff Publications

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