Navigation Links
Less Invasive Surgery Safe for Harvesting Bypass Veins: Study
Date:7/31/2012

TUESDAY, July 31 (HealthDay News) -- The use of minimally invasive endoscopy to harvest leg veins used in coronary artery bypass graft surgery is as safe as using ankle-to-groin incisions, a new study has found.

The findings contradict previous research that linked the endoscopic method to higher rates of vein bypass graft failure, heart attack and death.

For the study, researchers from Duke University Medical Center looked at nearly 236,000 Medicare patients who underwent coronary artery bypass graft surgery between 2003 and 2008. The endoscopic method of harvesting leg veins was used in 52 percent of the patients.

After three years of follow-up, there were no major differences between the endoscopic vein harvesting group and the open vein harvesting group in rates of death (13.2 percent versus 13.4 percent, respectively) or heart attack and revascularization (19.5 percent versus 19.7 percent, respectively).

Patients who underwent the minimally invasive procedure had lower rates of wound complication (3 percent for endoscopic vein harvesting and 3.6 percent for open vein harvesting) and infections, according to the study in the Aug. 1 issue of the Journal of the American Medical Association.

"Our study affirms the efficacy of endoscopic vein harvesting," senior author Dr. Peter Smith, chief of cardiovascular and thoracic surgery, said in a Duke news release. "It allays the concerns of patients who have undergone endoscopic vein harvesting during coronary artery bypass, as well as the concerns of surgeons who prefer endoscopic vein harvesting for their patients."

He noted that the study "was done in a very large population, and was conducted in a diverse group of large and small community programs, as well as university and non-university affiliated centers."

"It's unlikely another result would occur if more patients were studied," he added.

Dr. Sunil Abrol, chairman of surgery and director of thoracic surgery at Brookdale University Hospital and Medical Center in New York City, commented on the findings.

Abrol said endoscopic vein harvesting has been controversial and was thought to lead to narrowed grafts, which "translates to increased mortality, more [heart attacks] and a higher risk of re-intervention."

He said, however, that "patients find endoscopic vein harvest more comfortable, they have less pain and swelling in the legs, can [walk] sooner, and there is a significant reduction in wound-related complications and readmission rates."

The new study begins to put to rest some doubts raised about the procedure in a previous study, Abrol said, adding that endoscopic vein harvesting warranted further research.

More information

The U.S. National Heart, Lung, and Blood Institute has more about coronary artery bypass graft surgery.

-- Robert Preidt

SOURCES: Sunil Abrol, M.D., chairman of surgery and director of thoracic surgery, Brookdale University Hospital and Medical Center, New York City; Duke Medicine, news release, July 31, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Scientists looking for noninvasive ways to detect lung cancer early
2. Noninvasive imaging technique may help kids with heart transplants
3. Accelerated radiation treatment effective for noninvasive breast cancer
4. Obese appendectomy patients have fewer complications with minimally invasive operations
5. EVINCI results could lead to 75 percent reduction of invasive procedures for patients with suspected CAD
6. Patients Prefer More Invasive Form of Colon Scan: Study
7. Accelerated chemotherapy given before surgery benefits patients with muscle-invasive bladder cancer
8. Less Invasive Heart Valve Replacement Works for Elderly: Study
9. Less-Invasive Surgery for Esophageal Cancer Might Be Safer
10. Lower Risk for Bowel Obstruction With Less Invasive Surgery: Study
11. Invasive heart test being dramatically overused, Stanford study shows
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Less Invasive Surgery Safe for Harvesting Bypass Veins: Study
(Date:6/25/2016)... ... ... First Choice Emergency Room , the largest network of independent freestanding emergency ... its new Mesquite-Samuell Farm facility. , “We are pleased to announce Dr. Ogunleye ... M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , Dr. Ogunleye ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits ... terms of the latter, setting the bar too high can result in disappointment, perhaps ... slow progress toward their goal. , Research from PsychTests.com reveals that ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may ... to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To ... for healthy coping following a traumatic event. , Trauma sufferers tend to feel a ...
(Date:6/24/2016)... ... ... a crisis. Her son James, eight, was out of control. Prone to extreme mood shifts ... upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a knife ... and say he was going to kill them. If we were driving on the ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... "The World Market for Companion Diagnostic Tests" report to ... World Market for Companion Diagnostics The World ... diagnostic and personalized medicine diagnostics. Market analysis in the report ... Diagnostics Test Market (In Vitro Diagnostic Kits) by Region (N. ...
(Date:6/24/2016)... 2016  Arkis BioSciences, a leading innovator in ... durable cerebrospinal fluid treatments, today announced it has ... is led by Innova Memphis, followed by Angel ... investors.  Arkis, new financing will accelerate the commercialization ... release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... the "Pharmaceutical Excipients Market by Type (Organic Chemical ... Preservative), Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast ... The global pharmaceutical excipients ... 2021 at a CAGR of 6.1% in the forecast ...
Breaking Medicine Technology: