Evidence map›Paper›PMID 30505742›Full record

ArticleAnnals of cardiothoracic surgery2018

Graft patency after open versus endoscopic saphenous vein harvest in coronary artery bypass grafting surgery: a systematic review and meta-analysis.

Karishma Kodia, Sinal Patel, Matthew P Weber, Jessica G Y Luc, Jae Hwan Choi, Elizabeth J Maynes, Syed-Saif Abbas Rizvi, Dylan P Horan, H Todd Massey, John W Entwistle and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Annals of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07002658 (Endoscopic Saphenous Vein Harvesting Versus Conventional Open Harvesting in Patients Undergoing Coronary Artery Bypass Grafting, Either Alone or in Combination With Another Cardiac Surgical Procedure, in Terms of the Clinical Impact of Surgical Wound Morbidity), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07002658 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Endoscopic Saphenous Vein Harvesting Versus Conventional Open Harvesting in Patients Undergoing Coronary Artery Bypass Grafting, Either Alone or in Combination With Another Cardiac Surgical Procedure, in Terms of the Clinical Impact of Surgical Wound Morbidity

TypeinterventionalSponsorHospital San Carlos, MadridRan2025 to 2026Enrolled356ConditionsCABG-patients, Saphenectomy, Endoscopic Surgery, Wound ComplicationsArmsHarvesting of the saphenous vein graft
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Endoscopic vein harvesting.Journal of thoracic disease · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Karishma KodiaDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Sinal PatelDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Matthew P WeberDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Jessica G Y LucDivision of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Jae Hwan ChoiDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Elizabeth J MaynesDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Syed-Saif Abbas RizviDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Dylan P HoranDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
H Todd MasseyDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
John W EntwistleDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Rohinton J MorrisDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Vakhtang TchantchaleishviliDivision of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSaphenous vein grafts (SVG) are a commonly used conduit for coronary artery bypass graft (CABG) surgery and can be harvested by either an open or endoscopic technique. Our goal was to evaluate long-term angiographic and clinical outcomes of open compared to endoscopic SVG harvest for CABG.

methodsElectronic search was performed to identify all studies in the English literature that compared open and endoscopic SVG harvesting for CABG with at least one year of follow-up. The primary outcome was graft patency. Secondary outcomes included perioperative morbidity and mortality.

resultsOf 3,255 articles identified, a total of 11 studies were included for analysis. Of 18,131 patients, 10,873 (60%) patients underwent open SVG harvest and 7,258 (40%) patients underwent endoscopic SVG harvest. The mean age of patients was 65 years and 87% were male. The overall mean follow-up period was 2.6 years. During follow-up, patients who underwent open SVG harvest had superior graft patency per graft [open 82.3%

conclusionsPatients who underwent an open SVG harvest technique had improved graft patency and comparable overall mortality to endoscopic SVG harvest at average follow-up time of 2.6 years. Patients with open SVG harvest had higher rates of early wound complications and postoperative 30-day mortality, however, there was no difference in overall mortality.

Indexed as

30-day mortalityCoronary artery bypass grafting (CABG)endoscopic surgerygraft patencysaphenous vein harvest

Identifiers

PMID30505742
PMCPMC6219959

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.