Endoskopik Safen Ven Hazırlanması: Türkiye’deki İlk Deneyimler

Authors : Cem Aritürk, Murat Ökten, Ümit Güllü, Şahin Şenay, Leyla Kiliç, Mehtap Adigüzel, Fevzi Toraman, Hasan Karabulut, Cem Alhan

Pages : 260-264

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Publication Date : 2014-12-01

Article Type : Research

Abstract :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