Diğer, ss.87-98, 2020
Comparison of Endoscopic Saphenous Vein Harvesting with Open
Saphenous Vein Harvesting in Coronary Artery Bypass Surgery
Elif Demirbas*
Koray Ak*
Yasar Birkan*
Gokhun Alpua*
Nihal Kolbas* Sinan Arsan*
*Marmara University Faculty of Medicine Department of Cardiovascular Surgery İstanbul
Turkey
Abstract
Aim: Recently minimally invasive approaches have been gathering more popularity in cardiac surgery.
The aim of our study is to investigate the effects of endoscopic versus open harvesting of the great
saphenous vein, the most commonly used grafting method in conventional coronary artery bypass
surgery on early and long-term complications.
Methods: Included in the study were 60 patients who underwent coronary artery bypass grafting in our
clinic using either endoscopic saphenous vein graft (n=30) or open saphenous vein graft (n=30)
harvesting. Early follow-up data (wound site complications, pain, major cardiac and cerebrovascular
events, etc.) and long-term data (major adverse cardiac and cerabral events (MACCE), recurrent angina
pectoris, revascularization, tc.) were evaluated retrospectively.
Results: The rate of edema and pain was significantly lower in the EVH group (p=0.001), whereas
MACCE, recurrent angina pectoris, reintervention and revascularization rates did not significantly differ
between the groups in the long term follow-up (p>0.05).
Conclusion: The graft patency rate and the rates of MACCE and recurrent angina pectoris in the long
term did not significantly differ between patients undergoing endoscopic saphenous vein harvesting and
those undergoing open saphenous vein harvesting. The authors of the present study consider that
endoscopic saphenous vein harvesting is an alternative less invasive method that is superior to standard
surgical techniques, providing patient comfort and esthetic advantages without causing complications
in the long term.
Keywords: coronary artery bypass surgery, saphenous vein, endoscopic vein harvesting and minimal
invasive.
Correspondence: Prof. Dr. Koray Ak, T.C. Sağlık Bakanlığı, Marmara Üniv. Eğitim ve Araştırma
Hastanesi Kalp ve Damar Cerrahisi AD. Ustkaynarca Istanbul Turkiye Email: korayakmd@gmail.com