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Endoscopic Vein Harvest and Minimal Incision Femoropopltal Saphenous Vein Bypass Graft

Department of Surgery, Mayo Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN

Peter Gloviczki, MD

Division of Vascular Surgery, Gonda Vascular Center, Mayo Clinic, Rochester, MN

Sheilah Meany, CSA

Reordan O. De Jesus, MD

Department of Surgery, Mayo Clinic, Gonda Vascular Center, Mayo Clinic, Rochester, MN

We present a 59-year-old woman who underwent femoropopliteal bypass to relieve claudication caused by superficial femoral artery occlusion. We performed endoscopic saphenous vein harvest and used minimal access approaches to the anastomoses to reduce the risk of postoperative wound complications and speed recovery. The technique of the minimal access operation is described and we discuss the pertinent literature outlining results of endoscopic saphenous vein harvest used for infrainguinal bypass procedures. With the improvement in technology, reduction in wound complication rates, and decrease in overall expense, we predict that minimal access approaches for infrainguinal bypass procedures will regain popularity among vascular surgeons.

Key Words: Endoscopic vein harvest • minimal incision • femoropopliteal bypass

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