This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Giuseppe Nasso Francesco Alessandrini Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Nasso, G. Articles by Alessandrini, F. Search for Related Content PubMed PubMed Citation Articles by Nasso, G. Articles by Alessandrini, F. Related Collections Coronary disease Minimally invasive surgery

Minimally invasive saphenous vein harvesting guided by preoperative echotomography: results of a prospective randomized study

Centro Di Ricerca E Formazione Ad Alta Tecnologia, Nelle Scienze Biomediche, Loc. Tappino – Campobasso, Catholic University of the Sacred Heart, Campobasso, Italy

*Corresponding author: Giuseppe Nasso, MD, via Acaia 24, 00183 Rome, Italy. Tel./fax: +39-6-70492887.

E-mail address: gnasso{at}libero.it (G. Nasso).

Morbidity related to impaired leg wound healing after GSV harvest is a neglected problem with inherent social costs. We developed a minimally invasive harvest (MIH) technique without the need of specific devices guided by preoperative echotomography. We tested it in comparison to open harvest in a prospective, randomized study. One hundred and seven patients were prospectively randomized to receive either MI or conventional (C) harvest. Preoperative Doppler echotomography was performed in order to identify vein segments suitable for CABG and surgically attainable. Multiple skin incisions (up to four per patient and each one up to 5 cm in length) parallel to the vein axis were performed. MI had no adverse effects on graft function and associated to higher graft blood flow after anastomosis, probably due to reduced venospasm. MI was more time-expensive, but resulted in a significantly lower incidence of postoperative wound morbidity. This was particularly evident in patients with risk factors for wound complications. The MI approach is safe and reliable for obtaining venous conduits for CABG. Accurate echotomography mapping of the leg veins is pivotal for its efficacy. Given the low costs and evident benefits, MIH should be tested as an alternative approach in the routine surgical practice.

Key Words: Coronary artery bypass conduits; Saphenous vein; Incisions

This article has been cited by other articles:

				J. F. Reed Leg Wound Infections Following Greater Saphenous Vein Harvesting: Minimally Invasive Vein Harvesting Versus Conventional Vein Harvesting International Journal of Lower Extremity Wounds, December 1, 2008; 7(4): 210 - 219. [Abstract] [PDF]