Complications of CO 2  insufflation during endoscopic vein harvesting | Zendy

SuarezPierre Alejandro | Zendy; Terasaki Yusuke | Zendy; Magruder J. Trent | Zendy; Kapoor Anubhav | Zendy; Grant Michael C. | Zendy; Lawton Jennifer S. | Zendy

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Complications of CO 2 insufflation during endoscopic vein harvesting

Author(s) -

SuarezPierre Alejandro,

Terasaki Yusuke,

Magruder J. Trent,

Kapoor Anubhav,

Grant Michael C.,

Lawton Jennifer S.

Publication year - 2017

Publication title -

journal of cardiac surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.428

H-Index - 58

eISSN - 1540-8191

pISSN - 0886-0440

DOI - 10.1111/jocs.13249

Subject(s) - medicine , insufflation , cosmesis , vein , surgery , bypass grafting , pneumoperitoneum , artery , anesthesia , laparoscopy

Over the past few decades, the use of endoscopic harvest of the saphenous vein has gained popularity due to a significant reduction in rates of wound infection and improved cosmesis. The widespread adoption of this technique has introduced a set of complications associated with the use CO 2 insufflation which facilitates exposure during the vein harvest. We describe a case of pneumoperitoneum with systemic acidosis and subcutaneous air following endoscopic vein harvest for coronary artery bypass grafting and review the complications that may arise from CO 2 insufflation during endoscopic vein harvesting.

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