Clinical research of endoscopic great saphenous vein harvesting during coronary artery bypass grafting
10.3760/cma.j.issn.1673-4904.2015.11.004
- VernacularTitle:内窥镜获取大隐静脉行冠状动脉旁路移植的临床研究
- Author:
Jianguo YANG
;
Liang TAO
;
Xufa CHEN
;
Ping LIU
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass graft;
Great saphenous vein;
Endoscope;
Patency rate
- From:
Chinese Journal of Postgraduates of Medicine
2015;(11):792-795
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical result of patients undergoing endoscopic vein harvest (EVH) technology to collect greater saphenous vein (GSV) in coronary artery bypass graft (CABG) operation, and to assess the operation outcome of EVH. Methods A total of 862 patients underwent primary CABG, among whom saphenous vein of 482 patients were taken using EVH, and the others by open vein harvesting (OVH) based on patients' willingness. The operation risk factors and complication were compared between the two groups. The 64 multi-slice computed tomography (64-MSCTA) was used to evaluate the vein grafts patency after surgery for 1 year. The vein patency between the two groups was compared. Results There was no significant difference in risk factors of incision complication between two groups ( P>0.05). But the incidence of various incision complication was significantly lower in EVH group (10.2%,49/482) compared with that in OVH group (35.0%,133/380) ( P<0.05). The time of harvesting and the length of conduits was similar between two groups (P>0.05). After 1 year's follow-up, the vein graft patency were 86.0%(404/470) and 87.1%(324/372) in EVH group and OVH group, and there was no significant difference ( P>0.05). Conclusions The decrease in incision complication of EVH is unquestionably superior to those of OVH, especially for those patients with risk factors of incision complication. The EVH vein graft has good patency in short time.
