Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia

Vincent J. Santo, Phong T. Dargon, Amir Azarbal, Timothy Liem, Erica Mitchell, Gregory (Greg) Moneta, Gregory Landry

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective This study determined wound complication rates, intervention rates, failure mechanisms, patency, limb salvage, and overall survival after lower extremity revascularization using open vein harvest (OVH) vs endoscopic vein harvest (EVH) for critical limb ischemia. Methods A single-institution review was conducted of consecutive patients who underwent infrainguinal bypass with a single-segment reversed great saphenous vein between 2005 and 2012. Results A total of 251 patients with critical limb ischemia underwent revascularization, comprising 153 with OVH and 98 with EVH. The OVH group had a lower mean body mass index (26.7 vs 29.9 kg/m2; P =.001). There were no other differences in demographics, comorbidities, medications, smoking, or in the proximal or distal anastomotic site. Median operative times were 249 minutes (OVH) vs 316 minutes (EVH; P

Original languageEnglish (US)
Pages (from-to)427-434
Number of pages8
JournalJournal of Vascular Surgery
Volume59
Issue number2
DOIs
StatePublished - Feb 2014

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Saphenous Vein
Lower Extremity
Veins
Ischemia
Extremities
Limb Salvage
Operative Time
Comorbidity
Body Mass Index
Smoking
Demography
Survival
Wounds and Injuries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Open versus endoscopic great saphenous vein harvest for lower extremity revascularization of critical limb ischemia. / Santo, Vincent J.; Dargon, Phong T.; Azarbal, Amir; Liem, Timothy; Mitchell, Erica; Moneta, Gregory (Greg); Landry, Gregory.

In: Journal of Vascular Surgery, Vol. 59, No. 2, 02.2014, p. 427-434.

Research output: Contribution to journalArticle

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