Endoscopic vein harvesting in cardiac surgery

Endoscopic vein harvesting (EVH) is a relatively new technique, developed to help minimize morbidities associated with traditional harvesting techniques. Wound dehiscence, recurrent cellulitis, hematomas, neuropathies, and impaired mobility are often experienced by patients who have undergone open harvest techniques.

Use of this developing technique has been hindered due to the skill required to perform this task and time constraints that are often encountered in the operating room.

However, an adequate vein segment can be obtained in a timely fashion, and harvest site infections are reduced when this method is employed. Results thus far have revealed a decreased infection rate, fewer observed morbidities, and overall patient satisfaction.