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Surgery

Open or endoscopic vein graft harvesting—this is the question!

Nature Reviews Cardiology volume 6, pages 738–740 (2009)Cite this article

Endoscopic harvesting of saphenous veins for use in CABG surgery has become standard practice worldwide. This strategy reduces postoperative infection and hospital stay, and increases patients' satisfaction when compared with open harvest. However, long-term follow-up data provided by Lopes et al. indicate that widespread use of this technique must be urgently reviewed.

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References

  1. Lopes, R. D. et al. Endoscopic versus open vein-graft harvesting in coronary-artery bypass surgery. N. Engl. J. Med. 361, 235–244 (2009).

    Article  CAS  PubMed  Google Scholar 

  2. Athanasiou, T. et al. Are wound healing disturbances and length of hospital stay reduced with minimally invasive vein harvest? A meta-analysis. Eur. J. Cardiothorac. Surg. 26, 1015–1026 (2004).

    Article  PubMed  Google Scholar 

  3. Alexander, J. H. et al. Efficacy and safety of edifoligide, an E2F transcription factor decoy, for prevention of vein graft failure following coronary artery bypass graft surgery: PREVENT IV: a randomized controlled trial. JAMA 294, 2446–2454 (2005).

    Article  Google Scholar 

  4. Aziz, O. et al. Does minimally invasive vein harvesting technique affect the quality of the conduit for coronary revascularization? Ann. Thorac. Surg. 80, 2407–2414 (2005).

    Article  PubMed  Google Scholar 

  5. Aziz, O., Athanasiou, T. & Darzi, A. Minimally invasive conduit harvesting: a systematic review. Eur. J. Cardiothorac. Surg. 29, 324–333 (2006).

    Article  PubMed  Google Scholar 

  6. Rousou, L. J. et al. Saphenous vein conduits harvested by endoscopic technique exhibit structural and functional damage. Ann. Thorac. Surg. 87, 62–70 (2009).

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Bristol Heart Institute, University of Bristol, Bristol, UK

    Nishith N. Patel & Gianni D. Angelini

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  1. Nishith N. Patel
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  2. Gianni D. Angelini
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Correspondence to Gianni D. Angelini.

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The authors declare no competing financial interests.

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Patel, N., Angelini, G. Open or endoscopic vein graft harvesting—this is the question!. Nat Rev Cardiol 6, 738–740 (2009). https://doi.org/10.1038/nrcardio.2009.190

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  • DOI: https://doi.org/10.1038/nrcardio.2009.190

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