Document Detail


A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery.
MedLine Citation:
PMID:  19942633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The long saphenous vein remains the most commonly used conduit in coronary artery bypass surgery. Vein harvest is a critical component of this operation with significant morbidity associated with large leg wounds from open techniques. Here, we analyse the available literature comparing minimally invasive techniques vs. the traditional open method for vein harvest. A systematic literature search of Medline, Embase and Cochrane databases was performed using the following terms; 'saphenous vein', 'coronary artery bypass', 'tissue and organ harvesting' and 'endoscopic'. Relevant papers were then analysed using Statsdirect software. There was significantly reduced leg wound infection, leg wound haematoma and postoperative pain in the minimally invasive group. There was no statistical difference between the groups for vein harvest time, length of hospital stay and incidence of vein injury. There was a significantly reduced long-term graft patency in veins harvested by a minimally invasive technique. The results of this meta-analysis demonstrate the operative advantages of minimally invasive techniques for the purposes of vein harvest in coronary artery bypass surgery. However, further studies are required to look at long-term graft patency following minimally invasive vein harvest as this remains a major concern.
Authors:
Sheraz R Markar; Ramesh Kutty; Lyn Edmonds; Umar Sadat; Sukumaran Nair
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2009-11-26
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  266-70     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Papworth Hospital, Papworth Everard, Cambridge, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass*
Female
Graft Occlusion, Vascular / etiology,  physiopathology
Hematoma / etiology
Humans
Length of Stay
Male
Middle Aged
Pain, Postoperative / etiology
Saphenous Vein / transplantation*
Surgical Procedures, Minimally Invasive
Surgical Wound Infection / etiology
Time Factors
Tissue and Organ Harvesting / adverse effects,  methods*
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures*

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


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