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Updated: Jul 13, 2025

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[Endoscopic vessel (radial artery and/or vein) : harvesting for coronary bypass grafting]
Samuel Bruls1, Quentin Desiron1, Delphine Szecel1
1Service de Chirurgie cardiaque, vasculaire et thoracique, CHU Liège, Belgique.
Insights
Endoscopic vessel harvesting for coronary bypass grafting offers a less invasive approach. Patients experience reduced pain, faster recovery, and improved aesthetics with graft quality comparable to traditional methods.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Vascular Grafting
Context:
- Coronary artery bypass grafting (CABG) traditionally involves open sternotomy.
- Vessel harvesting (radial artery, vein) is a critical component of CABG.
- Minimally invasive surgical techniques are increasingly explored to improve patient outcomes.
Purpose:
- To describe the technique of endoscopic vessel harvesting for CABG.
- To evaluate the advantages of the endoscopic approach compared to conventional methods.
Summary:
- Endoscopic vessel harvesting utilizes minimally invasive techniques for radial artery and/or vein procurement.
- This method results in significantly less postoperative pain and faster patient rehabilitation.
- Key benefits include reduced scarring, lower complication risk, and superior aesthetic outcomes.
- Graft quality and patency achieved are comparable to traditional open harvesting.
Impact:
- Potential to enhance patient recovery and satisfaction following CABG.
- Offers a viable alternative to traditional harvesting, improving the overall surgical experience.
- Contributes to the advancement of minimally invasive cardiac surgical procedures.
Abstract:
We report the technique of endoscopic vessel (radial artery and/or vein) harvesting for coronary bypass grafting. Clearly less invasive, this endoscopic approach therefore offers the following advantages for the patient: limited postoperative pain and therefore faster rehabilitation in terms of mobility, less postoperative care, the absence of a long scar and therefore a lower risk of surgical complications with a better aesthetic result, while allowing a quality and a permeability of the graft similar to those obtained after a classic surgical harvest.

