Long-term results of coronary surgery with endoscopic vein harvesting

Abstract

Background: In this study, we aimed to evaluate early and long-term 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\% for isolated coronary 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.