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Updated: Jan 22, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

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Long saphenous vein harvesting techniques and their effect on graft patency

Amer Harky1, Beverly MacCarthy-Ofosu2, Ciaran Grafton-Clarke3

  • 1Department of Cardiothoracic Surgery, Liverpool Heart and Chest, Liverpool, UK.

Journal of Cardiac Surgery
|July 13, 2019
PubMed

Insights

Coronary artery bypass grafting uses the long saphenous vein (LSV) conduit. This review compares open versus endoscopic LSV harvesting techniques, evaluating their impact on long-term graft patency rates in cardiac surgery.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Surgical Techniques

Background:

  • Coronary artery bypass grafting (CABG) is a primary treatment for multivessel coronary artery disease.
  • The long saphenous vein (LSV) is the most common graft conduit used in CABG.
  • LSV harvesting techniques have advanced from open to endoscopic methods over 30 years.

Purpose of the Study:

  • To review current evidence on LSV harvesting techniques in CABG.
  • To compare the implications of open versus endoscopic LSV harvesting.
  • To analyze graft patency rates associated with each harvesting technique at various follow-up intervals.

Main Methods:

  • Literature review of studies comparing LSV harvesting techniques.
  • Analysis of data on graft patency rates.
  • Evaluation of surgical outcomes and complications.

Main Results:

  • Evidence on long-term patency rates for different LSV harvesting techniques is varied.
  • Ongoing debate exists regarding the optimal technique for superior vein patency.
  • The choice of harvesting technique may influence graft success in CABG.

Conclusions:

  • Further research is needed to definitively establish the superiority of one LSV harvesting technique over another.
  • Understanding the long-term implications of each technique is crucial for optimizing CABG outcomes.
  • Graft patency remains a critical factor in the success of coronary artery bypass surgery.

Keywords:
conduitscoronary artery bypass graftingvein harvesting

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