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Udtagning af vener til koronar bypass-kirurgi

Ali Imad El-Akkawi1, Christian Joost Holdflod Møller2, Peter Skov Olsen2 & Christian Lildal Carranza2
1) Hjerte-, Lunge og Karkirurgisk Afdeling, Aarhus Universitetshospital2) Thoraxkirurgisk Afdeling, Rigshospitalet

Ugeskr Læger 2019;181:V03180175
Ugeskr Læger 2019;181:V03180175

Ali Imad El-Akkawi, Christian Joost Holdflod Møller,
Peter Skov Olsen & Christian Lildal Carranza:

Saphenous vein harvesting techniques for coronary artery bypass grafting

Ugeskr Læger 2019;181:V03180175

The saphenous vein is a frequently used graft material in coronary artery bypass grafting. In this review, three harvesting techniques are presented, and their benefits and disadvantages are discussed. Endoscopic harvesting (EVH) has reduced harvest site complications. The method is safe in terms of mortality, myocardial infarction and revascularisation frequency compared with open vein harvesting.
A recent meta-analysis recommends EVH as first of choice. The no-touch technique has shown a tendency towards increased graft patency, however, further studies are needed in comparing this technique with EVH.

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