Abstract
Over the past decade, there has been an increased adoption of minimally invasive techniques for saphenous vein and radial artery procurement during coronary artery bypass surgery. Endoscopic approaches for vessel harvesting offer consistent advantages when compared to conventional “open” techniques in terms of neurological and wound complications, pain reduction and patients’ satisfaction. While concerns had been raised initially regarding conduit quality and potential damage occurring with an endoscopic approach and thereby potentially affecting the longevity of the graft itself, there is ample evidence in literature about similar survival outcomes and cardiac-related events at mid and long-term follow-up when compared to an open technique. Different strategies (sealed vs non-sealed) are nowadays available for endoscopic conduit harvesting and available evidence validates the safety and efficacy of the approach. Endoscopic harvesting techniques can be safely adopted as a standard of care for grafts procurement in patients undergoing multivessel coronary artery revascularization.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Ferdinand FD, MacDonald JK, Balkhy HH, et al. Endoscopic conduit harvest in coronary artery bypass grafting surgery: an ISMICS systematic review and consensus conference statements. Innovations. 2017;12:301–19.
Bisleri G, Muneretto C. Endoscopic saphenous vein and radial harvest: state-of-the-art. Curr Opin Cardiol. 2015;30:624–8.
Bisleri G, Moggi A, Muneretto C. Endoscopic vessel harvesting: good or bad? Curr Opin Cardiol. 2013;28:666–70.
Kaplan S, Morgan JA, Bisleri G, et al. Effects of resveratrol in storage solution on adhesion molecule expression and nitric oxide synthesis in vein grafts. Ann Thorac Surg. 2005;80:1773–8.
Desai P, Kiani S, Thiruvanthan N, et al. Impact of the learning curve for endoscopic vein harvest on conduit quality and early graft patency. Ann Thorac Surg. 2011;91:1385–92.
Aziz O, Athanasiou T, Darzi A. Minimally invasive conduit harvesting: a systematic review. Eur J Cardiothorac Surg. 2006;29:324–33.
Krishnamoorthy B, Critchley WR, Glover AT, et al. A randomized study comparing three groups of vein harvesting methods for coronary artery bypass grafting: endoscopic harvest versus standard bridging and open techniques. Interact Cardiovasc Thorac Surg. 2012;15:224–8.
Aziz O, Athanasiou T, Panesar SS, et al. Does minimally invasive vein harvesting technique affect the quality of the conduit for coronary revascularization? Ann Thorac Surg. 2005;80:2407–14.
Griffith GL, Allen KB, Waller BF, et al. Endoscopic and traditional saphenous vein harvest: a histologic comparison. Ann Thorac Surg. 2000;69:520–3.
Meyer DM, Rogers TE, Jessen ME, Estrera AS, Chin AK. Histologic evidence of the safety of endoscopic saphenous vein graft preparation. Ann Thorac Surg. 2000;70:487–91.
Hussaini BE, Xiu-Gui L, Wolfe JA, Thatte HS. Evaluation of endoscopic vein extraction on structural and functional viability of saphenous vein endothelium. J Cardiothorac Surg. 2011;6:82.
Brown EN, Kon ZN, Tran R, et al. Strategies to reduce intraluminal clot formation in endoscopically harvested saphenous veins. J Thorac Cardiovasc Surg. 2007;134:1259–65.
Rousou LJ, Taylor KB, Lu XG, et al. Saphenous vein conduits harvested by endoscopic technique exhibit structural and functional damage. Ann Thorac Surg. 2009;87:62–70.
Patel AN, Henry AC, Hunnicutt C, Cockerham CA, Willey B, Urschel HC. Endoscopic radial artery harvesting is better than the open technique. Ann Thorac Surg. 2004;78:149–53.
Bisleri G, Muneretto C. Endoscopic radial artery harvesting. In: European Association for Cardio-Thoracic Surgery, editor. Multimedia manual of cardiothoracic surgery. Oxford: Oxford University Press; 2009.
Shapira OM, Eskenazi BR, Anter E, et al. Endoscopic versus conventional radial artery harvest for coronary artery bypass grafting: functional and histologic assessment of the conduit. J Thorac Cardiovasc Surg. 2006;131:388–94.
Medalion B, Tobar A, Yosibash Z, et al. Vasoreactivity and histology of the radial artery: comparison of open versus endoscopic approaches. Eur J Cardiothorac Surg. 2008;34:845–9.
Burris NS, Brown EN, Grant M, et al. Optical coherence tomography imaging as a quality assurance tool for evaluating endoscopic harvest of the radial artery. Ann Thorac Surg. 2008;85:1271–7.
Lopes RD, Hafley GE, et al. Endoscopic versus open vein-graft harvesting in coronary-artery bypass surgery. N Engl J Med. 2009;361:235–44.
Zenati MA, Shroyer AL, Collins JF, et al. Impact of endoscopic versus open saphenous vein harvest technique on late coronary artery bypass grafting patient outcomes in the ROOBY (Randomized On/Off Bypass) Trial. J Thorac Cardiovasc Surg. 2011;141:338–44.
Bisleri G, Muneretto C. Letter by Bisleri and Muneretto regarding article, “Saphenous vein graft failure after coronary artery bypass surgery: insights from PREVENT IV”. Circulation. 2015;132:e28.
Dimitrova KR, Dincheva GR, Hoffman DM, DeCastro H, Geller CM, Tranbaugh RF. Results of endoscopic radial artery harvesting in 1577 patients. Innovations. 2013;8:398–402.
Burns DJ, Swinamer SA, Fox SA, et al. Long-term patency of endoscopically harvested radial arteries: from a randomized controlled trial. Innovations. 2015;10:77–84.
Goldsborough MA, Miller MH, Gibson J, et al. Prevalence of leg wound complications after coronary artery bypass grafting: determination of risk factors. Am J Crit Care. 1999;8:149–53.
Allen KB, Griffith GL, Heimansohn DA, et al. Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial. Ann Thorac Surg. 1998;66:26–32.
Bitondo JM, Daggett WM, Torchiana DF, et al. Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. Ann Thorac Surg. 2002;73:523–8.
Bonde P, Graham AN, MacGowan SW. Endoscopic vein harvest: advantages and limitations. Ann Thorac Surg. 2004;77:2076–82.
Andreasen JJ, Nekrasas V, Dethlefsen C. Endoscopic vs open saphenous vein harvest for coronary artery bypass grafting: a prospective randomized trial. Eur J Cardiothorac Surg. 2008;34:384–9.
Au WK, Chiu SW, Sun MP, et al. Improved leg wound healing with endoscopic saphenous vein harvest in coronary artery bypass graft surgery: a prospective randomized study in Asian population. J Card Surg. 2008;23:633–7.
Schultz SC, Stapleton D, D’Ambra P, et al. Prospective randomized study comparing the Teleflex Medical SaphLITE Retractor to the Ethicon CardioVations Clearglide Endoscopic System. J Cardiothorac Surg. 2006;1:24.
Yun KL, Wu Y, Aharonian V, et al. Randomized trial of endoscopic versus open vein harvest for coronary artery bypass grafting: six-month patency rates. J Thorac Cardiovasc Surg. 2005;129:496–503.
Perrault LP, Jeanmart H, Bilodeau L, et al. Early quantitative coronary angiography of saphenous vein grafts for coronary artery bypass grafting harvested by means of open versus endoscopic saphenectomy: a prospective randomized trial. J Thorac Cardiovasc Surg. 2004;127:1402–7.
Allen KB, Heimansohn DA, Robison RJ, et al. Influence of endoscopic versus traditional saphenectomy on event-free survival: five-year follow-up of a prospective randomized trial. Heart Surg Forum. 2003;6:E143–5.
Bonde P, Graham A, MacGowan S. Endoscopic vein harvest: early results of a prospective trial with open vein harvest. Heart Surg Forum. 2002;5(Suppl 4):S378–91.
Schurr UP, Lachat ML, Reuthebuch O, et al. Endoscopic saphenous vein harvesting for CABG – a randomized, prospective trial. Thorac Cardiovasc Surg. 2002;50:160–3.
Kiaii B, Moon BC, Massel D, et al. A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2002;123:204–12.
Hayward TZ 3rd, Hey LA, Newman LL, et al. Endoscopic versus open saphenous vein harvest: the effect on postoperative outcomes. Ann Thorac Surg. 1999;68:2107–10.
Bisleri G, Giroletti L, Hrapkowicz T, et al. Five-year clinical outcome of endoscopic versus open radial artery harvesting: a propensity score analysis. Ann Thorac Surg. 2016;102:1253–9.
Bisleri G, Giroletti L, Stefini R, Guarneri B, Muneretto C. Neurological study of radial nerve conduction during endoscopic radial artery harvesting: an intra-operative evaluation. J Cardiothorac Med. 2014;2:207–9.
Allen K, Cheng D, Cohn W, et al. Endoscopic vascular harvest in coronary artery bypass grafting surgery: a consensus statement of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS) 2005. Innovations. 2005;1:51–60.
Samano N, Geijer H, Liden M, Fremes S, Bodin L, Souza D. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: a randomized trial. J Thorac Cardiovasc Surg. 2015;150:880–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rosati, F., Bisleri, G. (2020). Endoscopic Saphenous Vein and Radial Artery Harvesting. In: Raja, S. (eds) Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24174-2_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-24174-2_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-24173-5
Online ISBN: 978-3-030-24174-2
eBook Packages: MedicineMedicine (R0)