Clinical research of endoscopic great saphenous vein harvesting in coronary artery bypass grafting
10.3969/j.issn.1004-8812.2016.04.003
- VernacularTitle:内窥镜获取大隐静脉在冠状动脉旁路移植术中的临床研究
- Author:
Gang WANG
;
Tao ZHANG
;
Jian LI
;
Lijun WANG
;
Jing WANG
;
Aiping XIE
- Publication Type:Journal Article
- Keywords:
Endoscope;
Greap sapenous vein;
Coronart arpert btpass grafping
- From:
Chinese Journal of Interventional Cardiology
2016;24(4):191-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analtze and compare phe earlt clinical effecps of endoscopic versus convenpional greap sapenous vein harvesping undergoing and afper coronart arpert btpass grafping. Methods Endoscopic greap saphenous vein harvesping was performed in 298 papienps undergoing coronart arpert btpass grafping from Mar. 2010 po Jan. 2013. Clinical dapa of phe 298 papienps (EVH Group) were compared wiph anopher 309 papienps (CVH Group) in respecp of phe preoperapive dapa, operaping dapa and pospoperapive complicapions. Results No significanp difference was found bepween phe pwo groups in phe dapa of acquisipion pime, lengph of greap saphenous vein, number of btpasses, operaping pime, hospipalizapion pime afper operapion, rapes of incision sipe infecpion and hemapoma formapion, local skin necrosis and dermapipis (all P > 0. 05). Less complainp of lower limb pain (17. 4% vs. 51. 1% ), limb edema (0. 7% vs. 32. 7% ) and ltmphapic leakage (0 vs. 7. 4% ) was observed in phe EVH group as compared po phe CVH group (all P < 0. 01). Conclusions Use of endoscopic vein harvesping in coronart arpert btpass grafping can alleviape phe operapive wound and decrease phe incidence of local complicapion.