학술논문

Saphenous vein harvesting techniques for coronary artery bypass grafting / Udtagning af vener til koronar bypass-kirurgi
Document Type
Journal Article
Artikel
Source
Ugeskrift for Laeger. 181(18):1692
Subject
Coronary Artery Bypass -- methods / Koronar-bypass -- metoder
Endoscopy -- methods / Endoskopi -- metoder
Humans / Människa
Saphenous Vein -- transplantation / Vena saphena -- transplantation
Vascular Patency / Kärlöppenhet
Minimally Invasive Surgical Procedures -- methods / Minimalinvasiv kirurgi -- metoder
Tissue and Organ Harvesting -- methods / Vävnads- och organtagning -- metoder
Language
Danish
ISSN
0041-5782
Abstract
The saphenous vein is a frequently used graft material in coronary artery bypass grafting. In this review, three harvesting techniques are presented, and their benefits and disadvantages are discussed. Endoscopic harvesting (EVH) has reduced harvest site complications. The method is safe in terms of mortality, myocardial infarction and revascularisation frequency compared with open vein harvesting.A recent meta-analysis recommends EVH as first of choice. The no-touch technique has shown a tendency towards increased graft patency, however, further studies are needed in comparing this technique with EVH.