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Related Experiment Video

Updated: Mar 14, 2026

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

Anna Kathrin Assmann1, Mustafa Gercek2, Jochen Boergermann2

  • 1Department of Cardiac Surgery and CURE 3D Lab, University Hospital of Düsseldorf, Düsseldorf, Germany.

The Thoracic and Cardiovascular Surgeon
|March 12, 2026
PubMed
Summary
This summary is machine-generated.

Endoscopic graft harvesting offers reduced pain, infection risk, and better cosmetic outcomes compared to open methods. Experienced surgeons ensure comparable graft quality, making it recommended for most coronary artery bypass grafting (CABG) patients.

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Techniques

Background:

  • Endoscopic graft harvesting, introduced in the 1990s, is now standard in 80-90% of US coronary artery bypass grafting (CABG) procedures.
  • Studies compare open versus endoscopic graft harvesting for long-term outcomes and adverse events.

Purpose of the Study:

  • To evaluate the clinical outcomes and patient satisfaction associated with endoscopic graft harvesting compared to traditional open techniques.

Main Methods:

  • Comparative analysis of clinical outcomes and adverse events between endoscopic and open graft harvesting.
  • Assessment of patient satisfaction, postoperative pain, and wound infection rates.

Main Results:

  • Endoscopic harvesting leads to significantly reduced postoperative pain and a lower risk of wound infections.
  • Patients report higher satisfaction due to better cosmetic results following endoscopic procedures.
  • Graft quality from endoscopic harvesting is comparable to open techniques when performed by experienced surgeons.

Conclusions:

  • Endoscopic graft harvesting provides superior patient comfort and aesthetic results without compromising graft quality.
  • Current guidelines recommend endoscopic harvesting, especially for patients with compromised wound healing.
  • This technique represents an advancement in CABG surgery, enhancing patient recovery and satisfaction.