{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T21:57:33Z","timestamp":1772143053839,"version":"3.50.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"Abstract<\/jats:title>\n Background\u2003Endoscopic saphenous vein harvesting (EVH) for coronary artery bypass grafting (CABG) has been developed to reduce leg wound problems. This study was undertaken to evaluate postoperative complications and patient's subjective satisfaction comparing EVH and surgical vein harvesting (SVH).<\/jats:p>\n Methods\u2003From January to December 2017, patients undergoing elective cardiac surgery (CABG, CABG\u2009+\u2009Valve repair or replacement) underwent saphenous vein graft harvesting either by EVH (n\u2009=\u2009136) or SVH (n\u2009=\u2009104). Clinical follow-up was scheduled for day 7 and\u2009>\u200945 days after surgery. Primary end points were divided into two subgroups. The first one included postoperative extent of subjective pain and satisfaction with the cosmetic results described by the patients themselves, while the second subgroup included objective postoperative complications including wound healing disturbances, hematoma, and neuropathy. Secondary end point was length of hospital stay.<\/jats:p>\n Results\u2003At 7 days follow-up, EVH patients were more satisfied with the cosmetic results than those of the SVH group (p\u2009<\u20090.001) and expressed a significant tendency toward lower subjective pain compared with the SVH patients (p\u2009<\u20090.001), exhibited significantly lower cellulitis (p-0.002), neuropathy (p-0.005), and superficial wound healing disturbance (p-0.007). During further follow-up at\u2009>\u200945 days, patients with EVH were still more satisfied with the cosmetic results (p\u2009<\u20090.001) and expressed lower subjective pain (p\u2009<\u20090.001), while the other objective wound parameters did not show significant differences between both groups. Mean length of hospital stay of EVH patients was 0.7 days less compared with SVH patients.<\/jats:p>\n Conclusions\u2003Our findings demonstrate the noninferiority of EVH in the short term and in the early medium term.<\/jats:p>","DOI":"10.1055\/s-0039-1683901","type":"journal-article","created":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T22:51:05Z","timestamp":1554418265000},"page":"700-705","source":"Crossref","is-referenced-by-count":3,"title":["Patient Satisfaction and Clinical Complications after Endoscopic or Surgical Saphenous Vein Harvesting"],"prefix":"10.1055","volume":"68","author":[{"given":"Tomas","family":"Filip","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filip","family":"Schr\u00f6ther","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Haase","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol","family":"Rudolph","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Claus","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes M.","family":"Albes","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Brandenburg, Brandenburg Medical School, Bernau bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1055\/s-0037-1606603","article-title":"German Heart Surgery Report 2016: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"65","author":"A Beckmann","year":"2017","journal-title":"Thorac Cardiovasc Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1093\/eurheartj\/ehu278","article-title":"2014 ESC\/EACTS Guidelines on myocardial revascularization","volume":"35","author":"P Cardiovascular","year":"2014","journal-title":"Eur Heart J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1177\/155698450500100201","article-title":"Endoscopic Vascular Harvest in Coronary Artery Bypass Grafting Surgery: A Consensus Statement of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS) 2005","volume":"1","author":"K Allen","year":"2005","journal-title":"Innovations (Phila)"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1510\/icvts.2009.222430","article-title":"A meta-analysis of minimally invasive versus traditional open vein harvest technique for coronary artery bypass graft surgery","volume":"10","author":"S R Markar","year":"2010","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/imi.0000000000000410","article-title":"Endoscopic Conduit Harvest in Coronary Artery Bypass Grafting Surgery","volume":"12","author":"F D Ferdinand","year":"2017","journal-title":"Innov Technol Tech Cardiothorac Vasc Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s13019-016-0442-y","article-title":"A comprehensive review on learning curve associated problems in endoscopic vein harvesting and the requirement for a standardised training programme","volume":"11","author":"B Krishnamoorthy","year":"2016","journal-title":"J Cardiothorac Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1136\/ard.37.4.378","article-title":"Studies with pain rating scales","volume":"37","author":"W W Downie","year":"1978","journal-title":"Ann Rheum Dis"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/1749-8090-5-44","article-title":"Mid-term outcomes for endoscopic versus open vein harvest: a case control study","volume":"5","author":"B H Kirmani","year":"2010","journal-title":"J Cardiothorac Surg"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1093\/ejcts\/ezt121","article-title":"The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267,525 patients","volume":"44","author":"P Sastry","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.jss.2012.11.013","article-title":"Endoscopic vein harvesting for coronary artery bypass grafting: a systematic review with meta-analysis of 27,789 patients","volume":"180","author":"A C Deppe","year":"2013","journal-title":"J Surg Res"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1016\/S0003-4975(03)01435-8","article-title":"Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting","volume":"76","author":"T Athanasiou","year":"2003","journal-title":"Ann Thorac Surg"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/j.athoracsur.2011.01.079","article-title":"Impact of the learning curve for endoscopic vein harvest on conduit quality and early graft patency","volume":"91","author":"P Desai","year":"2011","journal-title":"Ann Thorac Surg"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.jtcvs.2007.09.042","article-title":"Is minimally invasive harvesting of the great saphenous vein for coronary artery bypass surgery a cost-effective technique?","volume":"135","author":"C Rao","year":"2008","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.ejvs.2011.02.010","article-title":"A systematic review of cost-effectiveness evidence of endoscopic saphenous vein harvesting: is it efficient?","volume":"41","author":"A Garc\u00eda-Alt\u00e9s","year":"2011","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1683901.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T23:34:11Z","timestamp":1608075251000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1683901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,4]]},"references-count":14,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2020,12,15]]},"published-print":{"date-parts":[[2020,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1683901","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,4]]}}}