Prospective randomized study comparing the Teleflex Medical SaphLITE Retractor to the Ethicon CardioVations Clearglide Endoscopic SystemReport as inadecuate




Prospective randomized study comparing the Teleflex Medical SaphLITE Retractor to the Ethicon CardioVations Clearglide Endoscopic System - Download this document for free, or read online. Document in PDF available to download.

Journal of Cardiothoracic Surgery

, 1:24

First Online: 06 September 2006Received: 11 May 2006Accepted: 06 September 2006

Abstract

BackgroundSeveral minimally invasive saphenous vein harvesting techniques have been developed to reduce morbidities associated with coronary artery bypass grafting. This prospective, randomized study was designed to compare two commonly used minimally invasive saphenous vein harvesting techniques, the SaphLITE Retractor System Teleflex Medical and the Clearglide Endoscopic Vessel Harvesting System Ethicon CardioVations, Inc



MethodsBetween January 2003 and March 2004, a total of 200 patients scheduled for primary, nonemergent coronary artery bypass grafting, with or without concomitant procedures were randomized into two groups: SaphLITE n = 100 and Clearglide n = 100. Pre-, intra- and postoperative data was collected and subjected to statistical analysis. Randomization provided homogenous groups with respect to preoperative risk factors.

ResultsHarvest location for the SaphLITE group was thigh n = 40, lower leg n = 5 and both lower leg and thigh n = 55. The location of harvest for the Clearglide group was thigh n = 3, lower leg n = 16 and both lower leg and thigh n = 81. The mean incision length was 3.6 cm range, 2–6 in the SaphLITE group versus 2.1 cm range, 1–4 in the Clearglide group p < 0.05. The total incision length was 12.9 cm versus 8.9 p < 0.05 in the SaphLITE and Clearglide groups. Conversion to the open technique occurred in 5 SaphLITE patients and 7 Clearglide patients. Intraoperative leg exploration for bleeding occurred in two of the Clearglide patients and none of the SaphLITE patients. Post-operative complications specifically related to minimally invasive harvesting technique, including a two-week post-discharge visit, were not statistically different between the groups.

ConclusionThe saphenous vein can be safely harvested utilizing the SaphLITE and Clearglide systems. While the Clearglide system allows for fewer incisions number and length and less harvest time, these benefits may be outweighed by the increased cost of the Clearglide system compared to the SaphLITE retractor.

AbbreviationsCABGcoronary artery bypass grafting

MIHTminimally invasive harvesting techniques

SVsaphenous vein

SVHSaphLITE

CVHClearglide

Electronic supplementary materialThe online version of this article doi:10.1186-1749-8090-1-24 contains supplementary material, which is available to authorized users.

Scot C Schultz, Dennis Stapleton, Paula D-Ambra, Cynthia Loftis, Christine Wahrmann and George Ebra contributed equally to this work.

Download fulltext PDF



Author: Scot C Schultz - Dennis Stapleton - Paula D-Ambra - Cynthia Loftis - Christine Wahrmann - George Ebra

Source: https://link.springer.com/







Related documents