Autologous Vein Harvesting Using the Subcutaneous Extraluminal Dissector

Endoscopic harvesting of great saphenous vein for coronary artery bypass grafting

“…В настоящее время в мире внедряются различные миниинвазивные техники выделения большой подкожной вены. Уже в 80-х годах прошлого века использовались атравматические техники выделения вен с использованием подкожных внепросветных стрипперов (Mayo vein stripper, Novosurgical, США) [22], однако такая техника больше используется для венэктомии при варикозной болезни вен нижних конечностей и весьма травматична для кондуита [22].…”

Saphenous vein harvest with the Mayo extraluminal dissector: Is endothelial function preserved?

“…A recent report in the Journal describes the use of a thoracoscopic transaortic approach to resect a left ventricular fibroelastoma through a median sternotomy. 1 To combine a thoracoscopic instrument with a median sternotomy seems paradoxical, and therefore we describe a truly minimally invasive approach to an apical left ventricular myxoma that we have used involving a thoracoscopic approach combined with a right anterior minithoracotomy.…”

“…Despite a significantly lower incidence of wound infection rates 1 and compelling evidence that there is no difference in the degree of preservation of histologic architecture, vascular tone, or vasomotor reactivity of veins harvested with the Mayo dissector (Johnson and Johnson, Langhorne, PA) and a similar graft patency compared with the open method, 2 use of the Mayo dissector still remains limited, probably because of a lack of evidence regarding the functional quality of the vein. In modern practice, although endoscopic vein harvest is gaining popularity, the Mayo dissector (Figure 1) still remains a satisfactory and inexpensive, albeit underused, alternative for vein harvesting, and hence we sought to examine the functional quality of the veins harvested with the Mayo extraluminal dissector.…”

Endoscopic vs. Conventional Vein Harvesting:First Results with a New, Non-Disposable System

“…Disposable instruments from different companies were used for endoscopic vein harvesting. Regarding the high additional costs (US$ 300 to $ 700) and the extended harvesting time, alternative skin bridging techniques have also been described [9,10]. In January 1997, we developed the first non-disposable less invasive video-assisted endoscopic procedure for saphenous vein removal that was able to remove up to 26 inches (65 cm) from the great saphenous vein requiring a single 2 ±3 cm long incision [8].…”