Curative effect observation and experience summary with endoscopic saphenous vein harvesting in coronary artery bypass grafting for 1 573 cases in single center between 8 years.

A retrospective analysis of the totaling 1 573 cases coronary artery bypass grafting operation with endoscopic saphenous vein harvesting between Jan. 2009 and Apr. 2016 in the General Hospital of Shenyang Military Region. Observation and analysis of the postoperative complications related to Bridge blood vessel acquisition quality just like perioperative myocardial infarction and postoperative ventricular fibrillation, and the lower limb postoperative pain, edema, wound infection and other conditions were observed at the same time. Selected 70 consecutive cases from Mar. to May in 2014 which reviewed with the 64 slice coronary CT imaging at 1 week after operation.

The quality of acquisition from endoscopic saphenous vein were satisfied. A total of 18 cases of death during hospitalization. There were 9 cases of perioperative myocardial infarction include 5 death cases, 5 cases of frequent ventricular fibrillation include 4 death cases, 12 cases of cerebral infarction include 5 death cases, 4 cases of multiple organ failure and all died. Postoperative lower extremity edema and wound pain were significantly reduced, and the wound infection and healing were significantly decreased. The patency of vascular bridge is ideal in the near future.

Endoscopic vessel acquisition is a safe, mature and effective technique. Minimally invasive purposes can be achieved under the premise of vascular acquisition quality. It reduced the wound infection of lower extremity surgery, poor healing, wound pain and local edema. The recovery process was expedited. Action inconvenience caused by large area of scar formation was to avoided. Coupled with long-term cosmetic effect. All above effectively improve the patient′s quality of life.