Key result
This literature review summarizes the current evidence regarding long saphenous vein harvesting techniques, including total open and endoscopic methods, and their impact on graft patency rates.
Why the study?
There is an ongoing debate about which long saphenous vein harvesting technique provides optimum long-term vein graft patency in coronary artery bypass grafting.
Does the technique of harvesting the long saphenous vein affect graft patency in patients undergoing coronary artery bypass grafting?
Does the technique of harvesting the long saphenous vein affect graft patency in patients undergoing coronary artery bypass grafting?
This literature review summarizes the current evidence on how different long saphenous vein harvesting techniques impact long-term graft patency in patients undergoing CABG.
Review of LSV harvesting techniques leaves open optimal method for CABG graft patency; prospective RCTs required before practice change.
Coronary artery bypass grafting is a key cardiac surgery procedure and is the main treatment for patients with multivessel coronary artery disease. The most frequently used conduit for this procedure is the long saphenous vein (LSV). The technique of harvesting the LSV has evolved over the last 30 years from total open harvesting to endoscopic with minimal access technique. The most important determining factor for success in coronary artery surgery is the graft patency rate. The literature evidence behind each technique has been reported at different levels and there is an ongoing debate about which technique can provide optimum vein patency over the long term. This literature review aims to summarize the current evidence, the implications involved with the use of each technique for harvesting LSV and the patency rate at variable follow-up intervals.
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Harky et al. (2019) conducted a review in Multivessel coronary artery disease. Long saphenous vein harvesting techniques (endoscopic vs open) was evaluated on Graft patency rate. This literature review summarizes the current evidence regarding long saphenous vein harvesting techniques, including total open and endoscopic methods, and their impact on graft patency rates.
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