Heart, Lung and Circulation

Uniportal Endoscopic Vein Harvest Using the Three-Step Haemostatic Technique—A Modified Approach

      Endoscopic venous harvest (EVH) has become widely adopted in routine elective coronary artery bypass graft operations given it reduces surgical-site infections and improves wound cosmesis. The conventional EVH involves a ‘stab and grab’ incision at the inguinal crease, which is a hard-to-reach area for routine wound care. This paper describes the steps of the uniportal EVH, which transects the venous conduit, omitting the need for a stab incision at the groin.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Heart, Lung and Circulation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Allen K.B.
        • Shaar C.J.
        Endoscopic saphenous vein harvesting.
        Ann Thorac Surg. 1997; 64: 265-266
        • Zenati M.A.
        • Bhatt D.L.
        • Bakaeen F.G.
        Randomized trial of endoscopic or open vein-graft harvesting for coronary-artery bypass.
        N Engl J Med. 2019; 380: 132-141
        • Ouzounian M.
        • Hassan A.
        • Buth K.J.
        • MacPherson C.
        • Ali I.M.
        • Hirsch G.M.
        • et al.
        Impact of endoscopic versus open saphenous vein harvest techniques on outcomes after coronary artery bypass grafting.
        Ann Thorac Surg. 2010; 89: 403-408
        • Raja S.G.
        • Sarang Z.
        Endoscopic vein harvesting: technique, outcomes, concerns & controversies.
        J Thorac Dis. 2013; 5: 630-637
        • Grice E.A.
        • Segre J.A.
        The skin microbiome.
        Nat Rev Microbiol. 2011; 9: 244-253
        • Luckraz H.
        • Kaur P.
        • Bhabra M.
        • Mishra P.K.
        • Nagarajan K.
        • Kumari N.
        • et al.
        Endoscopic vein harvest in patients at high risk for leg wound complications: a cost-benefit analysis of an initial experience.
        Am J Infect Control. 2016; 44: 1606-1610
        • Oddershede L.
        • Ehlers L.H.
        • Andreasen J.J.
        Long-term cost-effectiveness of endoscopic vs open vein harvest for coronary artery bypass grafting.
        J Cardiovasc Dis Diagn. 2015; 3: 195