A healthy saphenous vein assists in returning blood from the lower extremities to the heart, but this function is dependent on the presence of a healthy system of check valves throughout the vein. Jan 24, 2014 #1 I am aware that procurement of saphenous vein is included in a CABG. Saphenous vein grafts are the most common conduits used for coronary artery bypass grafting (CABG); however, no more than 60% of vein grafts remain open after 10 years and graft failure is associated with poor clinical outcome. The purpose of using the no-touch technique in harvesting the saphenous vein with its surrounding tissue is to have a better patency of the graft, but the no-touch technique often takes more time when each branch of the vein must be ligated. Endoscopic harvesting of the greater saphenous vein for aortocoronary bypass grafting. 44 Similar to the use of the cervical vein, use of the superior thyroid artery for patch closure during CEA does not require the additional incision for harvest that a saphenous vein patch requires. Endoscopic saphenous vein harvesting uses a subcutaneous dissecting instrument that is guided videoscopically along the anterior surface of the vein. Conventional Saphenous Vein Harvesting Technique The SV has been the vessel of choice for autologous vein grafts since its introduction for CABG by Favarolo in 1969 [ 24 ]. T1 - Minimally invasive saphenous vein harvest with the SaphLITE system. Of note, we found in this study that infections only occurred in the NT leg of diabetic patients. Abstract Background The saphenous-vein graft is the most common conduit for coronary-artery bypass grafting (CABG). Rosemary Anne Cadwallader. 2017; 12(5): 301-319. Figure 1 Intraoperative image during no-touch saphenous vein graft harvesting for coronary artery bypass grafting. Provides early generation EVH users with the key benefits of an advanced technology in a familiar two handed format. All patients proposed to have saphenous vein used in parts of their operations were evaluated for endoscopic vessel harvest (EVH). When harvesting a vein graft, a few points are important to bear in mind: Patients have more complications from their leg wound than anything else after cardiac surgery. AU - O-Yurvati, A. H. AU - Martin, Adriane K. AU - Peska, Don. The no-touch saphenous vein harvesting technique is considered to be the ideal procedure to achieve the best quality of vein, whereas the endoscopic vein harvesting (EVH) technique is considered to be ideal for decreasing wound complications. Commence your incision well clear of the medial malleolus as this area heals poorly. The great saphenous vein is the longest vein in the body that originates near medial malleolus and goes up to the level of groin skin crease. Great Saphenous Vein Harvesting: A Systematic Review and Meta-Analysis of Open Versus Endoscopic Techniques Show all authors. Harvesting of a saphenous vein to be used for bypass is included in codes 33510-33516. Endoscopic Vein Harvesting. Carrizo GJ(1), Livesay JJ, Luy L. Author information: (1)The Department of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston 77030, USA. Saphenous Vein Harvest. Endoscopic Vein Harvesting is a high-demand skillset! Endoscopic saphenous vein harvest is a useful adjunct to infrainguinal vein bypass, with short length-of-hospital stay, few wound complications, and low hospital readmission rates. Vasoview Hemopro 2 Endoscopic Vessel Harvesting System . Harvesting of an upper extremity vein is reported separately with code 35500. Saphenous vein harvest wound complications: risk factors, identification, prevention and management Mohammad Salman Siddiqi Cardiothoracic Surgery Division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman Abstract: Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. The influence of the vein-graft harvesting … Although the saphenous vein (SV) is a widely used conduit for coronary artery bypass graft surgery (CABG), lower long-term graft patency rates and worse clinical outcomes have been reported after CABG performed with SV grafts compared with CABG … SAPHENOUS VEIN HARVESTING ANALYSIS 1999;68:1513–6. The length of stay (LOS) was shorter for the ESVH group A patients than in the open group B (7.63 6 6.05 vs 8.71 6 7.52, p # 0.08). Harvesting of other veins (e.g., upper extremity vein) is not bundled. The saphenous vein is found on the inside of the leg, from the groin to the ankle. The latest generation of Vasoview simultaneous … Experienced operators achieve superior patency and wound complication rates with endoscopic great saphenous vein harvest compared with open harvest in lower extremity bypasses. Definition The saphenous vein is a commonly used conduit in coronary artery bypass grafting. Saphenous veins underwent endoscopic harvest during bypass grafting procedures with routine pressure distention to ligate side branches. But I have this in an op report Saphenous vein was harvested in the left leg utilizing endoscopic vein harvesting technique. 4 5 Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, 6 Sichuan Province, China. The reasons for convert-ing was secondary to poor vein quality or additional vein being needed during the operation. Innovations. Methods: We reviewed one hundred patients with multi-vessel coronary artery disease who underwent elective CABG and agreed … I know the instructions you are talking about that state the procurement of the saphenous vein is included however, in the book, right before that paragraph, is the code 33508. Make a good job of hemostasis and leg closure. 7 Correspondence to: JICHUN ZHAO. The use of autologous grafts eliminates problems of tissue rejection and the need for tissue typing and matching. Thread starter coop22; Start date Jan 24, 2014; C. coop22 Networker. Endoscopic Harvesting of the Greater Saphenous Vein Web Seminar is a Basic Webinar formated class focusing on Endoscopic Vessel Harvesting. In: StatPearls [Internet]. Saphenous Vein Harvesting 1. Mahmoud SA(1), Widrich J(2). Ensure there is no dead space and bury all knots. It is easily harvested and the incidence of complication is low.