Economic Evaluation of Endoscopic vs Open Vein Harvesting

Eckey, Hannah; Heseler, Sophie; Hiligsmann, Mickaël

doi:10.1016/j.athoracsur.2022.09.017

Cited by 3 publications

(2 citation statements)

References 29 publications

(63 reference statements)

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“…In our study, the incidence of postoperative pain or edema was not significantly lower in the EVH group than in the OVH group. This finding differs from that in several studies reporting a notably lower incidence of postoperative pain [ 23 , 24 , 25 , 26 ]. This discrepancy could be attributed to the idea that pain may not solely stem from differences in incision length between different harvesting methods but rather from injury to adjacent tissues—a factor common to both EVH and OVH.…”

Section: Discussioncontrasting

confidence: 99%

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

Sampath,

Lee,

Cher

et al. 2024

JCM

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Background: The long saphenous vein is routinely used for coronary bypass graft (CABG) surgery, and two primary techniques are commonly utilized: endoscopic vessel harvesting (EVH) and open vessel harvesting (OVH). The aim of this study was to compare the clinical outcomes of the EVH and OVH techniques used for CABG within the confines of a tertiary hospital. Methods: The clinical data of all patients subjected to either EVH or OVH for CABG surgery between 2014 and 2018 were retrospectively analyzed. Statistical analysis was performed to discern variations in the rates of postoperative complications between EVH and OVH. Results: A cohort of 1884 individuals were included in this study, 75.3% of whom underwent EVH. Notably, the incidence of postoperative leg wound complications was significantly different between the patients who underwent OVH and the patients who underwent EVH, with incidence rates of 18.6% and 32%, respectively (p < 0.001). Leg wound complications (p < 0.001; OR 1.946; 95% CI 1.528–2.477) and leg wound infections (p = 0.050, OR 1.517, 95% CI 0.999–2.303) were significantly associated with OVH. Moreover, leg wound hematoma (p = 0.039, OR = 0.402, 95% CI = 0.169–0.957) and EVH were strongly associated. Conclusions: The large sample of patients and the inclusion of a range of Asian ethnic groups provided notable insights into postoperative complications related to different modalities. EVH was associated with a lower incidence of postoperative leg wound complications, which suggests that EVH is a better modality for those undergoing CABG surgery.

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Section: Discussioncontrasting

confidence: 99%

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

Sampath,

Lee,

Cher

et al. 2024

JCM

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“…Thus, the comparable long-term outcomes, in conjunction with decreased harvesting site complications, contributed to the adoption of the endoscopic harvesting technique for the saphenous vein grafts, despite concerns regarding increased costs [1,10,11]. However, cost analyses have shown that the cumulative costs are not statistically different between the open and endoscopic harvesting technique, as the higher equipment-related costs in the operating room associated with endoscopic harvesting are outbalanced by the costs associated with managing harvest site complications with the open harvesting technique [11][12][13].…”

Section: Endoscopic Saphenous Vein Harvestingmentioning

confidence: 99%

The Current Status of Minimally Invasive Conduit Harvesting for Coronary Artery Bypass Grafting

Anderson,

Kiaii,

Catrip

2024

JCDD

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The harvesting of conduits for coronary artery bypass surgery has evolved over the last decade to include endoscopic approaches to access the saphenous vein, radial artery, and internal mammary artery. These minimally invasive techniques reduce the morbidity associated with open procedures by decreasing pain and recovery time and increasing mobility post operatively. This review highlights the differences in morbidity, quality, and patency between the most common conduits that are harvested minimally invasively for coronary artery bypass grafting surgery.

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Cost Effectiveness of Endoscopic Vein Harvest for CABG

Ryan

Iribarne

2023

The Annals of Thoracic Surgery

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Economic Evaluation of Endoscopic vs Open Vein Harvesting

Cited by 3 publications

References 29 publications

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery

The Current Status of Minimally Invasive Conduit Harvesting for Coronary Artery Bypass Grafting

Cost Effectiveness of Endoscopic Vein Harvest for CABG

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