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November 7, 2012

Vein-Graft Harvesting Technique in Coronary Artery Bypass Graft Surgery—Reply

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Department of Surgery, Duke University Medical Center, Durham, North Carolina (smith058@mc.duke.edu).

JAMA. 2012;308(17):1739-1740. doi:10.1001/jama.2012.14018

In Reply: Prospective randomized trials have found that endoscopic harvest for CABG surgery of a vein segment from the thigh results in less wound morbidity and improved cosmetic result compared with open harvest from the calf.1,2 Consistent with the findings of these randomized trials, our observational study of 235 394 Medicare patients found the endoscopic harvesting technique to be associated with significantly reduced wound complications.