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Vasoview Hemopro Endoscopic Vessel Harvesting System

Vasoview Hemopro Endoscopic Vessel Harvesting System

Designed to deliver high performance in endoscopic vessel harvesting (EVH) for both the saphenous vein and radial artery.

Overview

The Vasoview Hemopro Endoscopic Vessel Harvesting System is designed to deliver high performance in endoscopic vessel harvesting (EVH) for both the saphenous vein and radial artery. With simultaneous cut-and-seal capability, it lets you make a seamless transition to the future of EVH.

Features

  • Achieve optimal hemostatic quality with a unique thermostatic tip that provides cut-and-seal capability in one smooth motion.
  • Fingertip Control - Feel the difference in sensitivity and responsiveness with fingertip adjustments that put control in your hands; no foot pedal is required.
  • Clear Visualization - Enjoy clear visualization with less bleeding in the tunnel. In addition, distal and proximal insufflation provide clear visualization from start to finish.

  • Minimal disruption of surrounding tissue – Harvest vessels with minimal effect on surrounding tissues; Vasoview Hemopro Endoscopic Vessel Harvesting System is especially suited for harvesting the radial artery.
  • Effortless Dissection - Create a working tunnel quickly, easily, and smoothly with the conical dissection tip.
Vasoview 6 Pro Endoscope

7 mm Extended Length Endoscope and Dissection Tip

The 7 mm Extended Length Endoscope with Dissection Tip is indicated for visualization of a surgical cavity and dissection in endoscopic procedures and other minimally invasive surgical procedures allowing access for vessel harvesting, and is primarily indicated for patients undergoing endoscopic vessel harvesting for arterial bypass.

Extremity procedures include tissue dissection/vessel harvesting along the saphenous vein for use in coronary artery bypass grafting and peripheral artery bypass or radial artery for use in CABG.

Clinical

EVH Procedure

EVH stands for Endoscopic Vessel Harvesting.  During a Coronary Bypass procedure, one or more healthy blood vessels will be taken (or “harvested”) from the patient’s leg, arm or chest to be used as “new” vessels for bypass grafts. There are three techniques for harvesting a vessel from the arm or leg for a CABG procedure: open, bridging and EVH. EVH uses special instruments to view and remove a blood vessel with less trauma to the vessel or to surrounding tissues than bridging or an “open” procedure.

In the past, one long incision was made from the ankle to the groin; this procedure is called an open procedure. It is highly invasive, often caused patients more pain than their chest incision, and resulted in a long scar.

An alternative, less invasive technique to the open procedure is called “bridging”. Bridging enables harvesters to gain access to the saphenous vein through three or four smaller incisions of about three inches each.

About EVH

EVH is minimally invasive and uses special instruments to view and remove the blood vessel. EVH usually requires one small incision about 2 cm long.  The EVH procedure is performed at the beginning of heart surgery and can be used for the following vessels:

  • The greater saphenous vein, which runs the length of the leg
  • The radial artery, which runs from the wrist to the elbow in the arm

Benefits of EVH

There is generally little patient discomfort from endoscopic vessel harvesting, especially when compared to open or bridging procedures.  In clinical studies, some important benefits have been shown in EVH including:

  • Significantly less risk of infection and wound complications1
  • Less postoperative pain and swelling1
  • Faster recovery with minimal scarring1
  • Greater patient satisfaction1

[1] Ferdinand FD, MacDonald JK, Balkhy HH, et al. Endoscopic Conduit Harvesting in Coronary Artery Bypass Grafting Surgery: An ISMICS Systematic Review and Consensus Conference Statements. Innovations. 2017; 12(5): 301-319.

Learn more about EVH

EVH as standard of care

EVH has been recommended as standard of care by many international medical societies:

  • ISMICS (International Society of Minimally Invasive cardiac Surgery) Endoscopic vein and radial artery harvest should be the standard of care for patients who require these conduits for coronary revascularization1
  • EACTS guidelines states: EVH should be considered to reduce the incidence of leg wound  complications2

[1] Ferdinand FD, MacDonald JK, Balkhy HH, et al. Endoscopic Conduit Harvesting in Coronary Artery Bypass Grafting Surgery: An ISMICS Systematic Review and Consensus Conference Statements. Innovations. 2017; 12(5): 301-319
[2] Philippe Kolh, Stephane Windecker, Fernando Alfonso, et al. 2014 ESC/EACTS Guidelines on Myocardial Revascularization. European Journal of Cardio-Thoracic Surgery. 2014; (46): 517-592.

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