Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad
Introduction: Harvesting of the greater saphenous vein is almost an inevitable part of coronary artery bypass grafting (CABG) operations, and it is done by two main techniques, i.e., conventional or open vein harvesting (OVH) and the minimally-invasive endoscopic vein harvesting (EVH). This study...
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| Format: | Article |
| Language: | English |
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Electronic Physician
2016-01-01
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| Series: | Electronic Physician |
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768916/ |
| _version_ | 1819136575701778432 |
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| author | Ahmad Amouzeshi Mohamad Abbassi Teshnisi Nahid Zirak Alireza Sepehri Shamloo Hamid Hoseinikhah Behzad Alizadeh Aliasghar Moeinipour |
| author_facet | Ahmad Amouzeshi Mohamad Abbassi Teshnisi Nahid Zirak Alireza Sepehri Shamloo Hamid Hoseinikhah Behzad Alizadeh Aliasghar Moeinipour |
| author_sort | Ahmad Amouzeshi |
| collection | DOAJ |
| description | Introduction: Harvesting of the greater saphenous vein is almost an inevitable part of coronary artery bypass
grafting (CABG) operations, and it is done by two main techniques, i.e., conventional or open vein harvesting
(OVH) and the minimally-invasive endoscopic vein harvesting (EVH). This study aimed to compare these two
techniques in off-pump CABG procedures with respect to clinical and pathological outcomes.
Methods: This cohort study was conducted on CABG candidates during a one-year period from October 2013
through September 2014 in the Department of Cardiac Surgery at Mashhad University of Medical Sciences.
Eighty-seven patients voluntarily underwent EVH, and another 86 patients matched for age, gender, and other
cardiovascular risk factors were selected for OVH. They were followed up for six weeks, and the main outcome
measures were infections of the wound, pain, duration of hospital stay, and the costs of hospitalization. Paired
sample t-test, independent t-test, or their non-parametric equivalents and the chi-squared test were used by SPSS
version 17.0 for data analysis.
Results: The mean duration of time for vein harvesting was shorter in the EVH group (p < 0.001), and the pain
score was lower (p = 0.04). No infections occurred at the site of the wound. The length of hospital stay was not
significantly different for the two groups (OVH versus EVH: 8.5 ± 3.3 versus 8.4 ± 3.2 days; p-value: 0.08).
Hospitalization costs were significantly higher in the EVH group (OVH versus EVH: 5.8 ± 4.7 versus 7.3 ± 2.0
million Tomman; p-value: 0.008), yet no difference was diagnosed with respect to endothelial damage in the vein
grafts harvested by the EVH and OVH techniques.
Conclusion: EVH is considered as a minimally invasive and safe vein harvesting technique in our Center, and it
can reduce the harvesting time and post-operative pain. In addition, its efficiency was similar to that of OVH. |
| first_indexed | 2024-12-22T10:37:10Z |
| format | Article |
| id | doaj.art-94cf04507c5f44e69af2899b8cb9c1c7 |
| institution | Directory Open Access Journal |
| issn | 2008-5842 2008-5842 |
| language | English |
| last_indexed | 2024-12-22T10:37:10Z |
| publishDate | 2016-01-01 |
| publisher | Electronic Physician |
| record_format | Article |
| series | Electronic Physician |
| spelling | doaj.art-94cf04507c5f44e69af2899b8cb9c1c72022-12-21T18:29:08ZengElectronic PhysicianElectronic Physician2008-58422008-58422016-01-01811693170010.19082/1693Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in MashhadAhmad AmouzeshiMohamad Abbassi TeshnisiNahid ZirakAlireza Sepehri ShamlooHamid HoseinikhahBehzad AlizadehAliasghar MoeinipourIntroduction: Harvesting of the greater saphenous vein is almost an inevitable part of coronary artery bypass grafting (CABG) operations, and it is done by two main techniques, i.e., conventional or open vein harvesting (OVH) and the minimally-invasive endoscopic vein harvesting (EVH). This study aimed to compare these two techniques in off-pump CABG procedures with respect to clinical and pathological outcomes. Methods: This cohort study was conducted on CABG candidates during a one-year period from October 2013 through September 2014 in the Department of Cardiac Surgery at Mashhad University of Medical Sciences. Eighty-seven patients voluntarily underwent EVH, and another 86 patients matched for age, gender, and other cardiovascular risk factors were selected for OVH. They were followed up for six weeks, and the main outcome measures were infections of the wound, pain, duration of hospital stay, and the costs of hospitalization. Paired sample t-test, independent t-test, or their non-parametric equivalents and the chi-squared test were used by SPSS version 17.0 for data analysis. Results: The mean duration of time for vein harvesting was shorter in the EVH group (p < 0.001), and the pain score was lower (p = 0.04). No infections occurred at the site of the wound. The length of hospital stay was not significantly different for the two groups (OVH versus EVH: 8.5 ± 3.3 versus 8.4 ± 3.2 days; p-value: 0.08). Hospitalization costs were significantly higher in the EVH group (OVH versus EVH: 5.8 ± 4.7 versus 7.3 ± 2.0 million Tomman; p-value: 0.008), yet no difference was diagnosed with respect to endothelial damage in the vein grafts harvested by the EVH and OVH techniques. Conclusion: EVH is considered as a minimally invasive and safe vein harvesting technique in our Center, and it can reduce the harvesting time and post-operative pain. In addition, its efficiency was similar to that of OVH.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768916/endoscopic vein harvestingopen vein harvestingcoronary artery bypass graftinggraft patencyclinical outcome |
| spellingShingle | Ahmad Amouzeshi Mohamad Abbassi Teshnisi Nahid Zirak Alireza Sepehri Shamloo Hamid Hoseinikhah Behzad Alizadeh Aliasghar Moeinipour Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad Electronic Physician endoscopic vein harvesting open vein harvesting coronary artery bypass grafting graft patency clinical outcome |
| title | Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad |
| title_full | Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad |
| title_fullStr | Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad |
| title_full_unstemmed | Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad |
| title_short | Clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in Mashhad |
| title_sort | clinicopathological comparisons of open vein harvesting and endoscopic vein harvesting in coronary artery bypass grafting patients in mashhad |
| topic | endoscopic vein harvesting open vein harvesting coronary artery bypass grafting graft patency clinical outcome |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768916/ |
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