Document Detail

Subcutaneous, video-assisted saphenous vein harvest: report of the first 30 cases.
MedLine Citation:
PMID:  9013008     Owner:  NLM     Status:  MEDLINE    
Harvest of the saphenous vein is a commonly performed procedure in cardiovascular surgery. The incision required for its removal is the longest used anywhere. In this report, the authors describe a minimally invasive technique for removal of the vein. This has been used in 30 patients undergoing peripheral arterial bypass (n = 27), venovenous bypass (n = 2), and a saphenopopliteal fistula (n = 1). There were three perioperative complications: skin necrosis over tunnel (one), bulla (one), and saphenous vein injury (one). Harvest time averaged 1.25 h. There was minimal postoperative discomfort in the harvest site and minimal scarring. Endoscopic harvest of the saphenous vein differs from most laparoscopic procedures because of its linear course. Consequently, visualization and dissection is coaxial rather than triangulation. This study demonstrates the technical feasibility of vein harvest. Development of appropriate instrumentation for opening the optical cavity and vein manipulation will reduce operative times.
A B Lumsden; F F Eaves; J C Ofenloch; W D Jordan
Related Documents :
8350428 - Saphenous vein angioscopy: a valuable method to detect unsuspected venous disease.
18242138 - Giant saphenous vein graft pseudoaneurysm rupture presenting with cardiac tamponade.
1257898 - Autologus saphenous vein femoropopliteal bypass: analysis of 298 cases.
15464518 - Mycotic aortocoronary saphenous vein graft aneurysm presenting with unstable angina pec...
495638 - Shock and noncardiogenic pulmonary edema following meglumine diatrizoate for intravenou...
23698848 - Rare complication of aortic aneurysm repair.
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-29     Completed Date:  1997-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  771-6     Citation Subset:  IM    
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Endoscopy / methods*
Feasibility Studies
Follow-Up Studies
Postoperative Complications
Saphenous Vein / surgery*
Skin / surgery
Surgical Procedures, Minimally Invasive
Video Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of clinical follow-up and duplex surveillance of infrainguinal vein bypasses.
Next Document:  Venous thrombotic complications of pregnancy.