Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D.

Slides:

Advertisements

Similar presentations

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease Srikrishna Sirivella, MD, Isaac Gielchinsky,

Advertisements

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

Keith B Allen, MD, Carl J Shaar, PhD The Annals of Thoracic Surgery

Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy Oz M Shapira, MD, Gabriel Akopian, Ali.

Leena Khaitan, MD, Francis P Sutter, Scott M Goldman, MD

Second Chance for a Totally Thoracoscopic Video-Assisted Pulmonary Vein Isolation for Atrial Fibrillation Antoine H.G. Driessen, MD, Sébastien P.J. Krul,

Stroke after coronary artery operation: incidence, correlates, outcome, and cost John D Puskas, MD, A.Daniel Winston, MD, Carolyn E Wright, MS, John Parker.

Hospital readmission after coronary artery bypass grafting: are women doing worse? Johnny Steuer, MD, Paul Blomqvist, MD, PhD, Fredrik Granath, PhD, Bo.

Endoscopic Robotic Mitral Valve Surgery

Injury of the common peroneal nerve after cardiothoracic operations

Coronary artery bypass grafting in patients with advanced left ventricular dysfunction Gregory D Trachiotis, MD, William S Weintraub, MD, Thomas S Johnston,

Wound-healing disturbances after vein harvesting for CABG: a randomized trial to compare the minimally invasive direct vision and traditional approaches

Histologic evidence of the safety of endoscopic saphenous vein graft preparation Dan M Meyer, MD, Thomas E Rogers, MD, Michael E Jessen, MD, Aaron S Estrera,

Comparison of EuroSCORE II, Original EuroSCORE, and The Society of Thoracic Surgeons Risk Score in Cardiac Surgery Patients Niv Ad, MD, Sari D. Holmes,

Closed Suction Drainage Improves Clinical Outcome in Patients Undergoing Endoscopic Vein Harvesting for Coronary Artery Bypass Grafting Bhuvaneswari.

Functional assessment of disease-free saphenous vein grafts at redo coronary artery bypass grafting Thomas V Bilfinger, MD, James A Vosswinkel, MD, Christos.

Right internal thoracic artery or saphenous vein grafting

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report John S. Ikonomidis, MD, PhD The Annals of Thoracic.

Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery: Development of a Predictive Risk Algorithm Mitchell J. Magee, MD, Morley A. Herbert,

Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump? Ann C. Gaffey, MD, MTR,

Major leg wound complications after saphenous vein harvest for coronary revascularization Christian E Paletta, MD, David B Huang, MD, Andrew C Fiore,

Ho Young Hwang, MD, Jun Sung Kim, MD, Ki-Bong Kim, MD, PhD

Treatment of a Nonhealing Saphenous Vein Harvest Graft with Treprostinil Sodium Dianne Zwicke, MD, Brian Buggy, MD, Don Lobacz, BSN, Kristan Rollins,

Endoscopic Saphenous Vein Harvesting

Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future William F. Turner, MD, John H. Sloan,

Reply The Annals of Thoracic Surgery

H.Edward Garrett, James C Gilmore, Gregory A Lowdermilk, Daniel McCoy

Clinical benefits of endoscopic vein harvesting in patients with risk factors for saphenectomy wound infections undergoing coronary artery bypass grafting

Saphenous Vein Harvest With SaphLITE System Versus Conventional Technique: A Prospective, Randomized Study Shaohua Wang, MD, Hao Tang, MD, Vikki Wilkinson,

Initial prospective multicenter clinical trial of robotically-assisted coronary artery bypass grafting Ralph J Damiano, MD, Harold A Tabaie, Michael.

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

William D. Jordan, MD, David C. Voellinger, MD, Per T

Isolated Huge Aneurysm of the Left Main Coronary Artery in a 22-Year-Old Patient With Type 1 Neurofibromatosis Margaux Pontailler, MD, Didier Vilarem,

Role of graft flow measurement technique in anastomotic quality assessment in minimally invasive CABG Saad F. Jaber, MD, Steven C. Koenig, PhD, Bobby.

Pathology of the Radial and Internal Thoracic Arteries Used as Coronary Artery Bypass Grafts Eric Kaufer, BS, Stephen M Factor, MD, Rosemary Frame, MS,

Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial Keith B Allen, MD, Gary L Griffith, MD, David A Heimansohn,

Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting James A Magovern, MD, Daniel H Benckart, MD, Rodney.

Michel Carrier, MD, Michel Pellerin, MD, Louis P Perrault, MD, PhD, B

Robert H. Habib, PhD, Thomas A. Schwann, MD, Milo Engoren, MD

A man with saphenous vein graft aneurysms after bypass surgery

A. Thomas Pezzella, MD, Sari D

Endoscopic and traditional saphenous vein harvest: a histologic comparison Gary L Griffith, MD, Keith B Allen, MD, Bruce F Waller, MD, David A Heimansohn,

Initial experience with sutureless proximal anastomoses performed with a mechanical connector leading to clampless off-pump coronary artery bypass surgery

Vassilios Gulielmos, Michael Knaut, Florian M. Wagner, Stephan Schüler

Pain is significantly reduced by cryoablation therapy in patients with lateral minithoracotomy Jan Bucerius, MD, Sebastian Metz, MD, Thomas Walther,

Isabella Rohrer-Gubler, Urs Niederhauser, Marko I Turina

Minimally Invasive Axillary– Coronary Artery Bypass

Minimally Invasive Surgical Alternatives for Left Ventricle Epicardial Lead Implantation in Heart Failure Patients José L. Navia, MD, Fernando A. Atik,

Video-assisted replacement or bypass grafting of the descending thoracic aorta with a new sutureless vascular prosthesis: An experimental study Rachid.

Kagami Miyaji, MD, Randall K Wolf, MD, John B Flege, MD

Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications Jerene M Bitondo, Willard M Daggett, MD, David F Torchiana,

Impact of Endoscopic Versus Open Saphenous Vein Harvest Techniques on Outcomes After Coronary Artery Bypass Grafting Maral Ouzounian, MD, Ansar Hassan,

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

Neal S Goldstein, MD The Annals of Thoracic Surgery

Max B. Mitchell, MD, David N. Campbell, MD

Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization Paul Kurlansky, MD, Morley Herbert, PhD, Syma.

Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD

Robert R Lazzara, MD, Francis E Kidwell, BS

Signs and symptoms of saphenous nerve injury after greater saphenous vein stripping: prevalence, severity, and relevance for modern practice Charles.

Stunned myocardium after off-pump coronary artery bypass grafting

Catheter-Based Endoscopic Bypass Grafting: An Experimental Feasibility Study Stephan Jacobs, MD, David Holzhey, MD, Hubert Stein, BS, BME, Friedrich W.

Off-pump grafting of the main circumflex coronary artery in the atrioventricular groove via sternotomy Thomas A Vassiliades, MD The Annals of Thoracic.

Long-term outcome after coronary artery bypass grafting in patients with severe left ventricular dysfunction John Alfred Carr, MD, Benjamin E Haithcock,

Gary L Grunkemeier, PhD, Ruyun Jin, MD The Annals of Thoracic Surgery

Luke S. Erdoes, MD, Timothy P. Milner, MD Journal of Vascular Surgery

Successful VATS ligation of a large anomalous branch producing IMA steal syndrome after MIDCAB Sebastian Pagni, MD, Michael Bousamra, MD, Melissa Walton.

Huseyin Okutan, MD The Annals of Thoracic Surgery

Revascularization alone (without mitral valve repair) suffices in patients with advanced ischemic cardiomyopathy and mild-to-moderate mitral regurgitation

Aurangzeb Durrani, Eugene K.W Sim, Robert T Grignani

Lars Oddershede, MMS, Jan J. Andreasen, MD, PhD, Barbara C

Presentation transcript:

Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D Montgomery, BS, Daniel J VanHimbergen, BA, Dana J Fisher, RN, Laman A Gray, MD, Paul A Spence, MD The Annals of Thoracic Surgery Volume 66, Issue 5, Pages 1626-1631 (November 1998) DOI: 10.1016/S0003-4975(98)00783-8

Fig 1 Working table with videoscopic saphenous harvest instruments. From top to bottom: subcutaneous tunneler, subcutaneous retractor, cotton tip dissector, endoscissors, endoclipapplier, and vein dissector. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 2 Introduction of the endoscopic tunneling device under internal and external guidance. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 3 Videoscopic view of the vein path in the working channel. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 4 Vein separated from the adjacent fat with the endodissector. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 5 After lateral clipping, the side branch is transected. Note the venospasm produced by the cut. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 6 Cosmetic result obtained after a full-length harvest through three incisions. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 7 Saphenous vein harvest through upper calf incision (three graft lengths). The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 8 Comparison of perioperative pain in video-assisted saphenectomy (VAS) versus control groups, up to 6 weeks follow-up. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)

Fig 9 Incidence of vein injury correlated to the learning curve in the first 50 patients. (A) Comparison of perioperative pain in video-assisted saphenectomy (VAS) legs and open harvested legs up to 6 weeks follow-up. (B) incidence of vein injury correlated to the learning curve. The Annals of Thoracic Surgery 1998 66, 1626-1631DOI: (10.1016/S0003-4975(98)00783-8)