ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Long-term results of coronary surgery with endoscopic vein harvesting
Leyla Kılıç1, Ahmet Ümit Güllü2, Şahin Şenay2, Egemen Ersin3, Özlem Çelik1, Emine Güzel1, Neriman Özge Çalışkan1, Muharrem Koçyiğit4, Cem Alhan2
1Department of Nursing, Acıbadem Mehmet Ali Aydınlar University, Faculty of Health Sciences, Istanbul, Turkey
2Department of Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Istanbul, Turkey
3Department of Perfusion, Acıbadem Mehmet Ali Aydınlar University, Institute of Health Sciences, Istanbul, Turkey
4Department of Anesthesiology and Reanimation, Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Istanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2021.21803
Background: In this study, we aimed to evaluate early and longterm outcomes of both isolated or concomitant coronary artery bypass grafting with the endoscopic vein harvesting technique.

Methods: Between November 2012 and May 2017, a total of 324 patients (259 males, 65 females; mean age: 63.2±9.8 years; range, 36 to 91 years) who underwent coronary artery bypass grafting, with or without concomitant procedures, using the endoscopic vein harvesting technique were retrospectively analyzed. Early postoperative outcomes and long-term follow-up data of the patients, such as cardiovascular or cerebral events, cardiac reinterventions, and the images of coronary angiography were recorded.

Results: Median logistic EuroSCORE and in hospital mortality was 3.99 (0.8-81) vs. 0 .9% f or i solated c oronary surgery and 13.34 (1.5-76.4) vs. 1.5% for concomitant procedures. The long-term data could be obtained in 288 patients with a median of 59.6 (7-90) months of follow-up. During this period, 22 (7.6%) patients underwent coronary angiography for control or treatment, 12 (4.2%) patients needed revascularization, and none of the patients underwent redo coronary surgery.

Conclusion: Our study results suggest that the endoscopic vein harvesting technique during coronary artery bypass grafting is safe in experienced hands.

Keywords : Coronary artery bypass grafting, endoscopic vein harvesting, graft patency
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