Long-Term Results of Endoscopic Versus Open Saphenous Vein Harvest for Lower Extremity Bypass
| Autor: | Michael J. Singh, Walker Julliard, Karl A. Illig, Michael J. Nabozny, Carolyn Glass, Kate Young, Jeremy Katzen |
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| Rok vydání: | 2011 |
| Předmět: |
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medicine.medical_specialty Time Factors New York Risk Assessment Risk Factors Diabetes mellitus medicine Humans Vascular Patency Saphenous Vein Vein Aged Retrospective Studies Aged 80 and over Peripheral Vascular Diseases Chi-Square Distribution medicine.diagnostic_test business.industry Graft Occlusion Vascular Endoscopy Retrospective cohort study General Medicine Middle Aged Limb Salvage medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Lower Extremity Cohort Tissue and Organ Harvesting Female Vascular Grafting medicine.symptom Cardiology and Cardiovascular Medicine Claudication business Chi-squared distribution |
| Zdroj: | Annals of Vascular Surgery. 25:101-107 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2010.10.013 |
| Popis: | BACKGROUND: Endoscopic saphenous vein harvest (EVH) has been shown to lower wound infection rates and cost compared with conventional harvest, although long-term patency data are lacking. A small series of studies has recently suggested that patency is inferior to conventionally harvested vein technique, and we thus sought to explore this question by reviewing our cumulative experience with this technique. METHODS: The short- and long-term outcomes of all lower extremity bypasses (LEBPs) using saphenous vein at one institution over a period of 8.5 years were retrospectively reviewed. RESULTS: A total of 363 patients averaging 67 ± 24 to 100 years of age had undergone LEBP and had charts available for review. Of these 363 patients, 170 underwent EVH (90% using a noninsufflation technique) and 193 conventional (by means of continuous or skip incisions); 48% of patients reported tissue loss and no differences in indication for surgery were noted between groups. Mean follow-up was 35.1 (range |
| Databáze: | OpenAIRE |
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