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Asian Cardiovasc Thorac Ann 2000;8:146-149
© 2000 Asia Publishing EXchange Pte Ltd


ORIGINAL CONTRIBUTION

Endoscopic Vein Surgery in Lower Extremities With VasoView System

Masayuki Hirokawa, MD, PhD, Katsushi Oda, MD, PhD, Akira Yamamoto, MD, Hideaki Nishimori, MD, PhD, Atsushi Hata, MD, PhD, Takashi Fukutomi, MD, Kunihiko Hirose, MD, PhD, Shiro Sasaguri, MD, PhD

Department of Surgery II
Kochi Medical School
Nankoku, Kochi, Japan
For reprint information contact: Masayuki Hirokawa, MD, PhD Tel: 81 888 80 2375 Fax: 81 888 80 2376 email: gea01265{at}nifty.com Department of Surgery II, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi 783-8505, Japan.
The VasoView system was used for endoscopic saphenous vein harvesting in 10 coronary artery bypass patients and for endoscopic subfascial division of perforating veins in 8 patients with varicose veins. In both procedures, the surface of the saphenous vein and the subfascial plane were dissected using the VasoView dissection cannula. An operative tunnel was subsequently created by inflating and deflating the balloon and maintained by carbon dioxide insufflation. The branches of the saphenous vein and the perforating veins were divided with bipolar scissors under endoscopic vision. In endoscopic saphenous vein harvesting, the mean graft length was 31.5 ± 7.5 cm and the mean number of skin incisions was 3 ± 1.2. In endoscopic subfascial division of perforating veins, 3.4 ± 1.7 veins were divided. The VasoView system is attributed with a decrease in complications after vein surgery in the lower extremities.







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