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Volume 361:1907-1910 November 5, 2009 Number 19
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Endoscopic versus Open Vein-Graft Harvesting

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 by Lopes, R. D.
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To the Editor: Lopes and colleagues (July 16 issue)1 report data on vein-graft harvesting techniques from the Project of Ex-vivo Vein Graft Engineering via Transfection IV (PREVENT IV) study and conclude that endoscopic vein-graft harvesting, as compared with open harvesting, is independently associated with increased vein-graft failure and adverse outcomes.

In another analysis from the same study,2 off-pump and on-pump coronary-artery bypass grafting (CABG) were compared. An interesting finding was that with endoscopically harvested grafts, the probability of graft failure was significantly higher in the off-pump group than in the on-pump group (odds ratio, 1.78 vs. 1.27). In addition, vein . . . [Full Text of this Article]




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