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:10/13/2017)... RIDGE, N.J. (PRWEB) , ... October 13, 2017 , ... ... annual Holly Day Market. Featuring a collection of specialty vendors and unique items from ... of personalized and quality-focused health and wellness services offered by the VNA. The ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... giving viewers the lowdown on sciatica in a new episode of "Success Files," ... on current events and innovation and investigates each subject in-depth with passion and ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... advisory services for healthcare compliance program management, will showcase a range of technology ... Association for Assisted Living (NCAL) Convention and Expo to be held October 14–18, ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ... introduction of an innovative new design of the shoulder pad. The shoulder pad ... comfort while controlling your pain while using cold therapy. By utilizing ice and water ...
(Date:10/12/2017)... LOS ANGELES (PRWEB) , ... October 12, 2017 ... ... of Parsa Mohebi Hair Restoration, has recently contributed a medical article to the ... doctors, on cosmetictown.com. Dr. Mohebi’s article spotlights the hair transplant procedure known as ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... 28, 2017 Hill-Rom Holdings, Inc. (NYSE: HRC), ... call and webcast on Friday, November 3, 2017, beginning ... ending at approximately 8:30 a.m. (CDT) / 9:30 a.m. ... 2017 financial performance and guidance for 2018, Hill-Rom executives ... enhance operational performance, and long-range financial outlook through 2020. ...
(Date:9/25/2017)...  EpiVax, Inc., a leader in the fields ... announced the launch of EpiVax Oncology Inc., a ... cancer vaccines. EpiVax has provided $500,000 in seed ... technologies to the new precision immunotherapy venture. Gad ... as Chief Executive Officer. Gad brings over 25 ...
(Date:9/19/2017)... LOUISVILLE, Ky. , Sept. 19, 2017   ZirMed ... and predictive analytics, today announced that it has been ranked ... the Black Book™ Rankings 2017 User Survey. ZirMed ... software solution for large hospitals and medical centers over 200 ... in Black Book,s healthcare technology user survey history. ...
Breaking Medicine Technology: