Initial Evaluation of Endoscopic Saphenous Vein Harvesting

(Division of Cardiovascular Surgery, Nagasaki Kouseikai Hospital, Nagasaki, Japan and Sakakibara Heart Institute, Division of Cardiovascular Surgery*, Fuchu, Tokyo, Japan)

Shigefumi Matsuyama* Etsuro Suenaga Manabu Sato
Shugo Koga
In this report, we present our initial experience of endoscopic saphenous vein harvesting (ESVH) using the Vasoview System. ESVH was performed in 72 patients between May 2006 and October 2007. The mean patient age was 73}6.7 years, and 54 (75%) were men. The success rate of ESVH was 98.6% (71/72). The mean harvest time was 36}11 min. The mean number of side branches requiring repair was 1.19}1.21. Comparing the first 5 cases with the last 5 cases, the time for harvesting time and the number of repaired branches improved significantly. Wound complications occurred in 2 patients (2.7%) postoperatively. The intraoperative mean graft flow was 25}13 ml/min. The early patency was 87% (47/54) as evaluated by postoperative angiography or CT. The intraoperative graft flow and early patency were satisfactory. ESVH is easy to adopt and has excellent cosmetic advantages.
@Jpn. J. Cardiovasc. Surg. 37: 255-258 (2008)