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Specialty

Endoscopic Vessel Harvesting (EVH)

Minimally invasive technique for harvesting vessels used in coronary bypass surgery — reducing leg trauma and recovery time.

About This Procedure

What is vessel harvesting?

If you are scheduled for coronary artery bypass surgery, your surgeon will need to harvest healthy blood vessels from another part of your body — often the chest, leg, or arm — to create the bypass graft. The saphenous vein, which runs along the inside of your leg, has a thick wall and is well suited for use on your heart.

Traditionally, removing the saphenous vein required a long incision the length of your leg. With Endoscopic Vessel Harvesting (EVH), surgeons make a series of smaller incisions and use an endoscope connected to a camera to view and remove the vein. Because the incisions are much smaller, muscle and tissue damage is minimized, and complications are reduced.

Who Is a Candidate ?

Patients we typically evaluate for EVH.

  • CABG patients needing grafts

    Patients scheduled for coronary artery bypass surgery.

  • Saphenous vein candidates

    Patients whose saphenous vein is suitable for harvest.

  • Patients prioritizing cosmesis

    Smaller, less visible scarring than traditional harvest.

  • Higher infection-risk patients

    Diabetic or other patients who benefit from reduced wound exposure.

The Process

How EVH is performed.

  • STEP 01

    Small leg incisions

    Several small incisions are made along the leg instead of one long incision.

  • STEP 02

    Endoscopic vein removal

    An endoscope with a camera is used to view and remove the saphenous vein.

  • STEP 03

    Vein used in bypass graft

    The harvested vein is used to create the bypass graft during coronary artery bypass surgery.