Comparative study of vein graft patency between segmental incision and open saphenous vein harvesting in coronary artery bypass grafting
10.3969/j.issn.1006-5725.2017.18.022
- VernacularTitle:冠状动脉旁路移植术大隐静脉分段切开获取与全程切开获取的近期对比
- Author:
Weicong HUANG
1
;
Di LU
;
Jue WANG
;
Dezhi CHENG
;
Chengchao SUN
Author Information
1. 温州医科大学附属第一医院心胸外科
- Keywords:
coronary artery bypass grafting;
great saphenous vein;
graft patenc
- From:
The Journal of Practical Medicine
2017;33(18):3067-3069
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare vein graft quality and patency between the segmental incision and the open saphenous vein harvesting in coronary artery bypass grafting. Methods The data of patients underwent CABG in the First Affiliated Hospital of Wenzhou Medical University from January 2013 to December 2015 were retrospectively analyzed. The patients were devided into 2 groups,which is 99 open and 114 sagmental incision,by the way of harvesting. The operative risk factors,harvesting time and length of venous grafts,as well as the inci-sion complications were compared between the above two groups. One year after operation,the vein graft patency was detected by the coronary artery CTA. Results No significant differences in the risk factors of incision compli-cations were observed between the two groups,but the incidence of various incision complications was significantly reduced in the segmental incision group(P < 0.05). No significant difference in patency rate of venous grafts was observed between two groups at 1 years post?operation. Conclusion Segmental incision saphenous vein harvesting was safe and feasible,which can decrease the incision complications without obvious effect on postoperative patency.