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"No-touch" versus "...
"No-touch" versus "endo" vein harvest : early patency on symptom-directed catheterization and harvest site complications.
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- Mannion, John D (author)
- Division of Cardiac Surgery, Department of Surgery, Bayhealth Medical Center, Dover, DE, USA
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- Marelli, Daniel (author)
- Division of Cardiac Surgery, Department of Surgery, Bayhealth Medical Center, Dover DE, USA
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- Brandt, Todd (author)
- Division of Cardiac Surgery, Department of Surgery, Bayhealth Medical Center, Dover DE, USA
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- Stallings, Megan (author)
- Division of Cardiac Surgery, Department of Surgery, Bayhealth Medical Center, Dover DE, USA
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- Cirks, Jeffery (author)
- Division of Cardiac Surgery, Department of Surgery, Bayhealth Medical Center, Dover DE, USA
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- Dreifaldt, Mats, 1959- (author)
- Region Örebro län,Department of Thoracic and Cardiovascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Souza, Domingos S. R. (author)
- Region Örebro län,Department of Thoracic and Cardiovascular Surgery, Örebro University Hospital, Örebro, Sweden
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2014
- 2014
- English.
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In: Innovations (Philadelphia). - : Lippincott Williams & Wilkins. - 1556-9845 .- 1559-0879. ; 9:4, s. 306-11
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- OBJECTIVE: "No-touch" (NT) saphenous vein harvesting preserves the adventitial vasa vasorum, prevents medial ischemia, and is associated with an improved short-term and long-term vein graft patency. It may also be associated with a higher rate of harvest site complications. Endovascular vein harvesting (endo-vein) has a low rate of harvest site complications but also a tendency toward a lower patency rate.METHODS: During a 2-year period (2011-2012), we compared the vein graft patency at symptom-directed cardiac catheterization as well as wound complication rates in 210 patients who received either NT (87 patients) or endo-vein (123 patients).RESULTS: The recatheterization rate for the two groups was similar: 9 (10.3%) of 87 of the NT patients versus 11 (9.0%) of 123 of the endo-vein patients. There was a significant difference in vein graft patency between the groups: 15 (94%) of 16 NT vein grafts were patent versus 6 (27%) of 22 of endo-veins (P < 0.02). The endo-vein graft patency during this 2-year period was similar to the total endo-vein patency (37%) during a 4-year period. A comparison between a more experienced and a less experienced harvester revealed no difference in patency rate. Harvest site complications were significantly higher with the NT harvest: 18% of the NT patients requiring vacuum-assisted wound closure or intravenous antibiotics versus 2% of the endo-vein patients (P < 0.0001). The application of platelet-rich plasma did not significantly lower wound complication rates (P = 0.27).CONCLUSIONS: These results suggest that NT vein harvesting may be associated with improved graft patency, but methods should be developed to lower wound complication rates.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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