Endoscopic Pedicle Saphenous Vein Graft Harvesting.

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Yuji Katayama, Takahiro Miho, Eijiro Nogami, Kohei Hamada, Masahide Shichijo, Kouta Shimauchi, Keiji Kamohara
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引用次数: 0

Abstract

The excellent long-term patency of no-touch (NT) saphenous vein grafts (SVGs) makes the grafts very attractive for coronary artery bypass grafting; however, NT-SVG harvesting has a greater incidence of wound complications than conventional methods. Since 2009, we have performed endoscopic vein harvesting (EVH) in our department with very few major wound complications. Because NT-SVG harvesting is expected to provide long-term patency, if performed with EVH, the incidence of wound complications will be reduced. Thus, we began performing endoscopic pedicle SVG harvesting (Pedicle-EVH) in March 2019. Herein, we report the early results obtained using our current Pedicle-EVH procedure. No major wound complications were reported, and the early results, including patency, were satisfactory. To harvest the pedicle SVG, however, we used a different method than the NT-SVG procedure, so careful monitoring will be needed to assess long-term outcomes.

内窥镜下腓骨隐静脉移植物采集术
免接触(NT)大隐静脉移植物(SVG)具有极佳的长期通畅性,因此在冠状动脉旁路移植手术中极具吸引力;然而,与传统方法相比,NT-SVG 切取术的伤口并发症发生率较高。自 2009 年以来,我们科室开展了内窥镜静脉采集术 (EVH),很少出现重大伤口并发症。由于NT-SVG采集有望提供长期的通畅性,如果采用EVH,伤口并发症的发生率将会降低。因此,我们于2019年3月开始实施内镜下椎弓根SVG采集术(Pedicle-EVH)。在此,我们报告了目前采用的Pedicle-EVH手术所取得的早期结果。没有出现重大伤口并发症,包括通畅性在内的早期结果令人满意。不过,我们采用了与 NT-SVG 手术不同的方法来采集椎弓根 SVG,因此需要仔细监测以评估长期效果。
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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
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