In Europe more than 200.000 patients require a coronary artery bypass grafting (CABG) procedure each year. Today’s healthcare environment requires achieving both, improved patient outcome along with cost efficacy. Endoscopic vessel harvesting is an example how overall healthcare costs could be reduced while providing incremental benefits to patients.
Source: Idata Resource Inc. 2014
Economic Benefits have been demonstrated as a result of clinical research performed at New Cross Hospital, Wolverhampton, UK, presented at the 2014 EACTS Annual Congress in Milan.
- Reduced length of hospital stay by 1 day compared to open techniques (OVH)
- Reduction of leg wound issues down to 4% (EVH) instead of 48% (OVH)
- A saving of £856 per patient including device costs
Take a look at this video and see how EVH changed the standard of care in New Cross Hospital Wolverhampton, UK.
A systematic analysis of more than 250,000 patients demonstrated the clinical benefits and safety of EVH compared to the historical open approach. Due to the robust evidence, in October 2014 the European Association of Cardiothoracic Surgeons (EACTS) has assigned a Class IIa, Level A recommendation for Endoscopic Vessel Harvesting; according to this classification EVH should be considered to reduce the incidence of leg wound complications.
The 2014 ESC/EACTS Guidelines on Myocardial Revascularization are available free of charge from the European Heart Journal. Please see page 48 for the procedural aspects of CABG.
While during Coronary Artery Bypass Grafting (CAGB) the still common procedure is to harvest the vein/artery in open technique, EVH allows to harvest the needed vessels in an endoscopic approach offering numerous Patient Benefits listed as follows:
- Equal long-term outcomes compared to open harvesting techniques
- Reduced risk of wound infection & hospital stays
- Faster recovery with minimal scarring and less pain
|Open Vessel Harvesting||Endoscopic Vessel Harvesting|
For more than 17 years Endoscopic Vessel Harvesting is under continuous advancement and changed the standard of care for coronary artery bypass grafting (CABG) surgery. With over 2 million VASOVIEW procedures performed through mid-2015, Maquet has led the efforts to make endoscopic vessel harvesting the standard of care (data on file).
|Learn more about best practices in EVH to ensure optimal patient outcomes >>||Read through our robust libarary of data and publications in support of EVH therapy >>|
1.Ouzounian M et al. Impact of endoscopic versus open saphenous vein harvest techniques on outcomes after coronary artery bypass grafting. Ann Thorac Surg. 2010 Feb;89(2):403–8. 2. Ad N et al. Endoscopic versus direct vision for saphenous vein graft harvesting in coronary artery bypass surgery. J Cardiovasc Surg (Torino). 2011 Oct;52(5):739–48. 3. Dacey, LJ et al. Long-term outcomes of endoscopic vein harvesting after coronary artery bypass grafting. Circulation. 2011 Jan 18;123(2):147–53. 4. Grant SW et al. What is the impact of endoscopic vein harvesting on clinical outcomes following coronary artery bypass graft surgery? Heart. 2012 Jan;98(1):60–4. 5. Williams JB et al. Association between endoscopic vs open vein-graft harvesting and mortality, wound complications, and cardiovascular events in patients undergoing CABG surgery JAMA. 2012 Aug 1;308(5):475–84. 6..European Heart Journal, doi:10.1093/eurheartj/ehu278.