Prague Med. Rep. 2025, 126, 207-214

https://doi.org/10.14712/23362936.2025.33

Long-term Graft Patency of Saphenous Vein Grafts after Endoscopic Harvest in Aortocoronary Bypass Surgery

Okaikor Okantey1,2, Tomáš Jonszta2,3ID, Lubomír Pavliska4, Jiří Sieja1,2, Miriam Kende1,2, Radim Brát1,2ID

1Department of Cardiac Surgery, University Hospital Ostrava, Ostrava, Czech Republic
2Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
3Department of Radiology, University Hospital Ostrava, Ostrava, Czech Republic
4Department of Science and Research, University Hospital Ostrava, Ostrava, Czech Republic

Received November 20, 2024
Accepted November 21, 2025

References

1. Aboollo, M. F., Awadallah, K. M., Elsharkawy, T., Abd, E. M. E, Hafez, B. A. (2022) Endoscopic versus conventional vein harvest technique: Histological and immunohistochemical evaluation of venous wall integrity. Heart Surg. Forum 25(4), 520–524. <https://doi.org/10.1532/hsf.4781>
2. Andreasen, J. J., Vadmann, H., Oddershede, L., Tilsted, H. H., Frøkjær, J. B., Jensen, S. E. (2015) Decreased patency rates following endoscopic vein harvest in coronary artery bypass surgery. Scand. Cardiovasc. J. 49(5), 286–292. <https://doi.org/10.3109/14017431.2015.1060354>
3. Aziz, O., Athanasiou, T., Panesar, S. S., Massey-Patel, R., Warren, O., Kinross, J., Purkayastha, S., Casula, R., Glenville, B., Darzi, A. (2005) Does minimally invasive vein harvesting technique affect the quality of the conduit for coronary revascularization? Ann. Thorac. Surg. 80(6), 2407–2414. <https://doi.org/10.1016/j.athoracsur.2005.04.009>
4. Chiu, K. M., Lin, T. Y., Wang, M. J., Chu, S. H. (2006) Reduction of carbon dioxide embolism for endoscopic saphenous vein harvesting. Ann. Thorac. Surg. 81(5), 1697–1699. <https://doi.org/10.1016/j.athoracsur.2005.12.040>
5. Desai, P., Kiani, S., Thiruvanthan, N., Henkin, S., Kurian, D., Ziu, P., Brown, A., Patel, N., Poston, R. (2011) Impact of the learning curve for endoscopic vein harvest on conduit quality and early graft patency. Ann. Thorac. Surg. 91(5), 1385–1391; discussion 1391–1392. <https://doi.org/10.1016/j.athoracsur.2011.01.079>
6. Fitzgibbon, G. M., Kafka, H. P., Leach, A. J., Keon, W. J., Hooper, G. D., Burton, J. R. (1996) Coronary bypass graft fate and patient outcome: Angiographic follow-up of 5,065 grafts related to survival and reoperation in 1,388 patients during 25 years. J. Am. Coll. Cardiol. 28(3), 616–626. <https://doi.org/10.1016/0735-1097(96)00206-9>
7. Gaudino, M., Antoniades, C., Benedetto, U., Deb, S., Di Franco, A., Di Giammarco, G., Fremes, S., Glineur, D., Grau, J., He, G. W., Marinelli, D., Ohmes, L. B., Patrono, C., Puskas, J., Tranbaugh, R., Girardi, L. N., Taggart, D. P.; ATLANTIC (Arterial Grafting International Consortium) Alliance (2017) Mechanisms, consequences, and prevention of coronary graft failure. Circulation 136(18), 1749–1764. <https://doi.org/10.1161/CIRCULATIONAHA.117.027597>
8. Hess, C. N., Lopes, R. D., Gibson, C. M., Hager, R., Wojdyla, D. M., Englum, B. R., Mack, M. J., Califf, R. M., Kouchoukos, N. T., Peterson, E. D., Alexander, J. H. (2014) Saphenous vein graft failure after coronary artery bypass surgery: Insights from PREVENT IV. Circulation 130(17), 1445–1451. <https://doi.org/10.1161/CIRCULATIONAHA.113.008193>
9. Ivaniuk, N. B., Zharinov, O. J., Mikhaliev, K. O., Yepanchintseva, O. A., Todurov, B. M. (2016) Factors determining quality of life of patients with ischemic cardiomyopathy selected for revascularization procedures. Cardiac. Surg. Interv. Cardiol. 3, 21–29. (in Ukrainian)
10. Jarrett, C. M., Pelletier, M., Abu-Omar, Y., Baeza, C., Elgudin, Y., Markowitz, A., Vega, P. R., Dressler, O., Kappetein, A. P., Serruys, P. W., Stone, G. W., Sabik, J. F. 3rd (2023) Endoscopic vs open vein harvest in drug-eluting stents or bypass surgery for left main disease trial. Ann. Thorac. Surg. 115(1), 72–78. <https://doi.org/10.1016/j.athoracsur.2021.12.079>
11. Krishnamoorthy, B., Critchley, W. R., Venkateswaran, R. V., Barnard, J., Caress, A., Fildes, J. E., Yonan, N. (2016) A comprehensive review on learning curve associated problems in endoscopic vein harvesting and the requirement for a standardised training programme. J. Cardiothorac. Surg. 11, 45. <https://doi.org/10.1186/s13019-016-0442-y>
12. Manchio, J. V., Gu, J., Romar, L., Brown, J., Gammie, J., Pierson, R. N. 3rd, Griffith, B., Poston, R. S. (2005) Disruption of graft endothelium correlates with early failure after off-pump coronary artery bypass surgery. Ann. Thorac. Surg. 79(6), 1991–1998. <https://doi.org/10.1016/j.athoracsur.2004.12.054>
13. Motwani, J. G., Topol, E. J. (1998) Aortocoronary saphenous vein graft disease: Pathogenesis, predisposition, and prevention. Circulation 97(9), 916–931. <https://doi.org/10.1161/01.CIR.97.9.916>
14. Ong, A. T. L., Serruys, P. W., Mohr, F. W., Morice, M. C., Kappetein, A. P., Holmes, D. R. Jr., Mack, M. J., van den Brand, M., Morel, M. A., van Es, G. A., Kleijne, J., Koglin, J., Russell, M. E. (2006) The SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) study: Design, rationale, and run-in phase. Am. Heart J. 151(6), 1194–1204. <https://doi.org/10.1016/j.ahj.2005.07.017>
15. Richards, C. E., Obaid, D. R. (2019) Low-dose radiation advances in coronary computed tomography angiography in the diagnosis of coronary artery disease. Curr. Cardiol. Rev. 5(1), 56–64.
16. Yokoyama, Y., Shimamura, J., Takagi, H., Kuno, T. (2021) Harvesting techniques of the saphenous vein graft for coronary artery bypass: Insights from a network meta-analysis. J. Card. Surg. 36(11), 4369–4375. <https://doi.org/10.1111/jocs.15974>
17. Zenati, M. A., Shroyer, A. L., Collins, J. F., Hattler, B., Ota, T., Almassi, G. H., Amidi, M., Novitzky, D., Grover, F. L., Sonel, A. F. (2011) Impact of endoscopic versus open saphenous vein harvest technique on late coronary artery bypass grafting patient outcomes in the ROOBY (Randomized On/Off Bypass) Trial. J. Thorac. Cardiovasc. Surg. 141(2), 338–344. <https://doi.org/10.1016/j.jtcvs.2010.10.004>
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