Great Benefits of Endoscopic Vessel Harvesting

CARDIOVASCULAR diseases are the most common cause of death in the world today, claiming 18.6 million lives each year. Serious heart disease is coronary artery disease, where plaque inside the arteries of the heart blocks the flow of blood and oxygen to the heart muscle. Patients with severe coronary artery disease are often treated with coronary artery bypass grafting (CABG). During the procedure, a surgeon removes a healthy blood vessel from the patient’s leg or arm and uses it to create a new route for blood to travel to the heart. And that’s where our Vasoview solutions for Endoscopic Vessel Sampling (EVH) come in.

The withdrawal of ships using EVH is at the forefront of technological advances. It helps the harvester to safely acquire high quality conduits for coronary bypass surgery by virtually eliminating thermal spread, using a smaller incision (2cm), which reduces the rate of infection, reduces pain and leaves smaller scars, while also leading to faster recovery, better clinical results and better patient satisfaction. The quality of the removed duct, vein or artery is excellent and comparable to the standard open technique.

The scar from the endoscopic sample of the vessels.

The EVH procedure is used in most patients undergoing coronary bypass surgery in the United States, but most Australian hospitals still perform open vessel retrieval (OVH), which may have a longer recovery time, increased pain. and an increased risk of infection, not to mention the long incision (30 cm).

Great Benefits of Endoscopic Vessel Harvesting - Featured Image

The scars of the harvest in an open vase.

Dr Michael G Worthington, senior consultant surgeon and former director of the D’Arcy Sutherland Cardiothoracic Surgery Unit in Adelaide, is a strong supporter of EVH and has brought EVH into the public system in Australia. He comments:

“During my career in cardiac surgery and in particular in CAP, the blood loss, discomfort, infection rates, slow healing and leg edema after leg veins harvested for CAP were a striking and unnecessary feature of the proceedings. Patients often complained that the incisions in the legs caused more discomfort than the midline sternotomy. I first discovered EVH in the early 2000s and was struck by the clinical differences between open vessels and EVH; to the point that patients with EVH are almost unaware that their peripheral vessels have been removed.

“When migrating to Australia, I was amazed that in Australia, HLE was only performed in two private hospitals in Queensland. In collaboration with Getinge, we initially introduced EVH in the public system of Royal Adelaide Hospital and later in Alfred Hospital in Melbourne, and at the same time we introduced EVH in the private system of Adelaide at Calvary Adelaide Hospital. We have a continuing education program to train specialized EVH harvesters based on the system practiced in the United States. Learning to perform HVE has a steep learning curve, but once mastered the procedure does not slow down the overall operation, provides excellent harvested vessel and minimal trauma to the patient. In Australia, there is no reason why patients should not enjoy the benefits of HALE when undergoing coronary bypass surgery. “

EVH has shown improved patient satisfaction through reduced pain, which has allowed patients to mobilize earlier and more effectively. In addition, there is a decrease in wound infections and other complications of leg wounds.

At Getinge, we are committed to helping medical teams around the world contribute to a healthier human heart, and our Vasoview systems used to perform HALE are a good example where technological advancements can lead to better clinical outcomes and increased patient satisfaction.

To learn more about the benefits of using EVH, watch this video with Dr Michael Worthington or contact us at [email protected]


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