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Related Concept Videos

Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Related Experiment Video

Updated: Nov 9, 2025

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
09:04

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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Endoscopic vein harvesting.

Enoch Akowuah1, Daniel Burns2, Joseph Zacharias3

  • 1Department of Cardiac Surgery, James Cook University Hospital, South Tees NHS, Foundation Trust, Middlesbrough, UK.

Journal of Thoracic Disease
|April 12, 2021
PubMed
Summary
This summary is machine-generated.

Endoscopic vein harvest (EVH) offers significant advantages over open vein harvest (OVH) for coronary artery bypass grafting, with no increased risk of adverse cardiac events. EVH is now recommended in major surgical guidelines.

Keywords:
Coronary artery bypassconduitendoscopicminimally invasivesaphenous vein

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Procedures
  • Vascular Grafting

Background:

  • Coronary artery bypass grafting (CABG) frequently uses the long saphenous vein as a conduit.
  • Open vein harvest (OVH) involves lengthy leg incisions (up to 85cm), leading to significant morbidity.
  • Endoscopic vein harvest (EVH) emerged as a less invasive alternative, showing reduced wound complications and faster recovery.

Purpose of the Study:

  • To evaluate the safety and efficacy of EVH compared to OVH in CABG procedures.
  • To address concerns regarding the impact of EVH on vein graft patency and major adverse cardiac events (MACE).

Main Methods:

  • Review of clinical trials and large observational studies comparing EVH and OVH.
  • Analysis of data on leg wound complications, graft patency, and MACE.
  • Consideration of current international surgical guidelines.

Main Results:

  • EVH significantly reduces leg wound complications, including surgical site infections, compared to OVH.
  • Initial concerns regarding increased mortality with EVH were debunked by large observational studies.
  • A 2019 randomized controlled trial confirmed no increase in death, myocardial infarction, or repeat revascularization with EVH.

Conclusions:

  • EVH is a safe and effective method for vein conduit harvesting in CABG.
  • EVH offers advantages in terms of reduced patient morbidity and faster recovery.
  • EVH is supported by strong clinical evidence and is recommended in major cardiothoracic surgery guidelines.