Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2014 , Vol 5, Issue 4
Endoscopic Safen Vein Harvesting : First Experiences In Turkey
Cem Arıtürk1, Murat Ökten1, Ümit Güllü2, Şahin Şenay2, Leyla Kılıç3, Mehtap Adıgüzel1, Fevzi Toraman4, Hasan Karabulut2, Cem Alhan2
1Acıbadem Sağlık Grubu, Kadıköy Hastanesi, Kardiyovasküler Cerrahi, İstanbul, Türkiye
2Acıbadem Üniversitesi, Kardiyovasküler Cerrahi Anabilim Dalı, İstanbul, Türkiye
3Acıbadem Sağlık Grubu, Maslak Hastanesi, Kardiyovasküler Cerrahi Kliniği, İstanbul, Türkiye
4Acıbadem Üniversitesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye
Objectives: Endoscopic safenous vein harvesting (EVH) has been a routine technique in some cardiovascular surgery clinics, especially in U.S.A, and decreases the postoperative morbidity, resulting in increased patient satisfaction.

Patients and Methods: 55 patients that had undergone EVH procedure with closed, carbondioxide insufflated endoscopic system (The VasoViewTM System, Maquet) during first time isolated coronary artery bypass grafting surgery, in Acıbadem Maslak and Kadikoy Hospitals between October 2012 and March 2013 were evaluated. Safenous vein grafts’ (SVG) length, total harvesting times, postoperative pain scores, complications as well as hematoma and surgery site enfections were recorded.

Results: All SVGs were harvested endoscopically, there was no need for conversion to open technique. In 2 patients’ SVGs, local dissected segments were noticed but the rest of the SVGs could be used.

Conclusion: We suggest that EVH, especially after the learning curve is completed, is a better method than open technique in SVG harvesting as it decreases the postoperative mortality while increasing the patient satisfaction. Keywords : Endoscopy, safen vein graft harvesting, coronary bypass