Terumo Cardiovascular Systems

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optimizing cardiac surgery

Best Practices

Information provided on this website is not intended to make claims that the products are safe and effective for any use other than those explicitly described in the Instructions for Use. Clinicians should refer to the Instructions for Use or Owner's Manuals for complete information on the intended use of any product mentioned in this website.

NEW! CASE STUDY: A Comparative Study of Endoscopic Vein Harvesting Systems
Jeffrey D'Agostino, M.S., PA-C, St. Barnabas Healthcare System, and clinicians at two other metro New York hospitals, undertook a study to compare two EVH systems over 48 cases to determine the extent of thermal injury and to verify vein branch length.
STUDY: Extent of Thermal Injury in Vascular Conduits Using VirtuoSaph™ Endoscopic Vein Harvesting System in Swine
A. Rojas, MD, et al, University of Michigan, tested the Virtuosaph System in swine model using open technique on arteries and veins to assess extent of thermal spread during branch ligation
NEW! CD-ROM: Extent of Thermal Injury in Vascular Conduits: A Comparison of Two Common EVH Devices in an Animal Model
Order a CD-ROM of the presentation by Alvaro Rojas-Peña, MD, recorded at the Terumo workshop during the Winter 2010 APACVS Meeting, concerning his study of thermal injury in vascular conduits.
NEW! CD-ROM: Saphenous Vein Harvest Best Practice - "Back Table and Beyond"
Order a CD-ROM of the presentation by Michael Gardocki, PA-C, FAPACVS, recorded at the Terumo workshop during the Winter 2010 Meeting of the Association of Physician Assistants in Cardiovascular Surgery.
NEW! CD-ROM: Comparative EVH Systems Study
Order a CD-ROM of the presentation by Jeffrey D'Agostino M.S., PA-C, recorded at the Terumo workshop during the Winter 2010 APACVS Meeting, in which he discusses his comparative EVH systems study.
NEW! CD-ROM: Best Practices - Preoperative Considerations/Planning Strategies for Optimal Conduits
Order a CD-ROM of the presentation by Jonathan Sobel, RPA-C, FAPACVS, recorded at the Terumo workshop during the Winter 2010 APACVS Meeting, in which he discusses preoperative considerations and planning strategies.
NEW! CD-ROM: Intra-Operative EVH Best Practices
Order a CD-ROM of the presentation by Bob Langford, PA-C, recorded at the Terumo workshop during the Winter 2010 APACVS Meeting, in which he discusses best practices for intra-operative EVH.
ABSTRACT: Strategies to Reduce Intraluminal Clot Formation in Endoscopically Harvested Saphenous Veins. J Thoracic Cardiovasc Surg. 2007; 134:1259-1265. Brown, E. et al.
In this 40-patient study, intraluminal saphenous vein clot formation was compared between endoscopic vein harvesting systems. Results indicate that systemic heparanization and an open system can lessen this complication.
ABSTRACT: Continuous Graft Perfusion: Optimizing the Quality of Saphenous Vein Grafts. Heart Surgery Forum. 2002;5(4);S355-S361. Lamm, P et al.
In this 80-patient study, conventional vein harvest was compared to EVH and endothelial integrity was found to be superior when using EVH.
ABSTRACT: Carbon Dioxide Embolism During Endoscopic Saphenous Vein Harvesting in Coronary Artery Bypass Surgery. J Thorac Cardiovasc Surg. 2003; 126:2011-2015. Lin, T et al.
In this 403-patient study, the incidence of significant CO2 embolism during EVH with CO2 insufflation procedures was more than 4% and that continuous monitoring was essential in early detection.
ABSTRACT: The Transition From Open to Endoscopic Saphenous Vein Harvesting and its Clinical Impact; Texas Heart Institute Journal 2006;33:316-320. Lai, T et al.
This retrospective study of 1,573 procedures concluded that EVH reduces leg wound infections, is safe and reliable, and should be the standard of care for CABG procedures.
ABSTRACT: Randomized Trial of Endoscopic Versus Open Vein Harvest for Coronary Artery Bypass Grafting: Six Month Patency Rates. Journal of Thoracic and Cardiovascular Surgery 2005;129:496-503. Yun, K et al.
This 200-patient study concluded that EVH reduces leg wound complications as compared to open technique without compromising the 6-month patency rate.