One year follow up study of sequential saphe nous vein grafts harvse ted by endoscopy
LI Bo
GU Chengxiong
LI Hai-tao
YANG Junfeng
WEI Hua
LI Jingxing
LIU Rui
HUANG Xinsheng
SONG Wei
LI Hui
LI Qin
Abstract：Objective To evaluate the short term clinical effects of sequential saphenous vein graft harvested by en -doscopy.Methods Retrospectively analyzed 241 patients who received off pump coronary artery bypass grafting and finished the one year follow up with sequential saphenous vein graft from Aug 2011 to Nov 2012 .Based on vein harvesting methods , the patients were divided into endoscopic vein harvesting group (EVH) and open vein harvesting group (OVH).The com-pared items included edema area in the lower limbs , patients'satisfaction score , clinical outcomes ( myocardial infarction and revascularization ) and graft patency .Results There were no significant differences of 2 groups of gender , age, LVEF, LVEDD, old myocardial infarction, hypertension, left main disease ( P >0.05), while in EVH group, body mass index, di-abetes is higher than the OVH group , the difference was statistically significant ( P <0.05). Compared with OVH group, there were no significant sequential grafts count , sequential bridge , main trunk flow pulsatility index, blood flow of each bridge and a bridge pulsate index with EVH group ( P >0.05).In EVH group, the satisfaction of operation were improve and lower extremity edema ratio decreased ( P <0.05).After 1 years, new myocardial infarction, revascularization and the patency rates did not show statistically significant among the 2 groups ( P >0.05).Conclu sion Sequential saphenous vein graft har-vested via EVH during off pump CABG can effectively reduce lower limb edema and improve patient 's satisfaction without af-fecting graft patency one year after the surgery .
Keywords：Endoscopic vein harvestingCoronary artery bypass graftingSaphenous veinSequential graftShort-term effects
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 551-554 )