Endoscopic Vessel Harvesting

Get the Vessel. Forget the Trauma.

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Trust Sorin Group and ClearGlide for a more comprehensive vessel harvesting system.
Sorin Group is now proud to offer ClearGlide vessel harvesting as part of our comprehensive array of cardiovascular products and services.
The ClearGlide system gives clinicians the freedom to perform minimally invasive harvesting to suit varying patient anatomies, user techniques and capital equipment, while maintaining vessel integrity. Patients benefit from a shorter length of stay, less pain, reduced wound complications and improved cosmesis.
Whether you use the system for endoscopic vein or radial artery harvesting, you’ll find ClearGlide ideal for complete vessel management… without the trauma!

About ClearGlide

Flexibility. Vessel Integrity. Patient Safety.

Why Endoscopic Vessel Harvesting ?

With traditional harvesting, the greater saphenous vein or radial artery was removed by way of a long incision (or multiple incisions) in the leg or arm. Many patients found the pain associated with this surgery to be more uncomfortable than the chest incision that exposes the heart for surgery!

In addition, the potential for wound complications and the delayed healing of larger or multiple incisions led to longer recovery periods and a slower return to normal activities.

The ClearGlide endoscopic vessel harvesting system is an innovative technique to harvest the blood vessels required for bypass surgery with a less invasive form of endoscopic surgery.

You and your staff benefit from:

A more flexible system: Saphenous vein or radial artery harvesting in a single system
Equivalent procedure time: incision to close
Uncompromised conduit quality
Reduced wound complications mean fewer follow-up office visits
An enhanced endoscopic skill set that can differentiate your practice

Your patients benefit from:

A shorter length of stay
Less post-operative pain and reduced wound complications
Improved cosmesis

The ClearGlide Advantage

When compared with the traditional procedure, ClearGlide Endoscopic Vessel Harvesting offers a number of advantages for the clinician:

Flexibility
The ClearGlide system gives clinicians the freedom to perform the harvesting procedure that suits varying patient anatomies, user techniques and capital equipment. Both saphenous vein and radial artery harvesting can be performed with the same system!

Vessel Integrity
The ClearGlide Precision Bipolar produces a strong seal with uniform coagulation

Patient Safety

With no reliance on closed insufflation, ClearGlide has a lower risk of CO² embolism. CO² embolism often results on conversion from EVH to open vessel harvest.
ClearGlide systems facilitate a truly single incision harvest, minimizing the need for extra incisions in infection prone areas, such as the ankle and the groin
The incidence and volume of residual clots in harvested vessels is reduced when using ClearGlide¹

1. Brown, EN, Poston RS, et al. Strategies to reduce intraluminal clot formation in endoscopically harvested saphenous veins, The Journal of thoracic and Cardiovascular Surgery, 2007; 134, (5): 1259 - 1265

Two Choices for Complete Vessel Management

Endoscopic Vein Harvesting

Enables harvesting of a quality conduit through a single leg incision
ClearGlide Precision Bipolar results in less vessel damage than traditional bipolar scissors and coagulation devices
Open CO² system, not dependent on gas insufflation to maintain tissue separation
Provides flexibility to support a variety of clinical approaches and capital equipment

ENDOSCOPIC VEIN HARVESTING VIDEO
Click play above to view the EVH procedure

Endoscopic Radial Artery Harvesting

The Watchband Incision™ enables harvesting of a quality conduit through a single incision in the wrist
Improved cosmesis with a small 3 cm incision vs the open procedure
Harmonic technology minimizes risk of damage to radial artery
Procedure accomplished without the use of a tourniquet

ENDOSCOPIC RADIAL ARTERY HARVESTING VIDEO
Click play above to view the ERA procedure

Events

Product Literature

Product Literature

EVH Brochure
Patient Guide
Precision Bipolar Generator
System Checklist
Bonchek Data Sheet

Suggest Reading

1. Connolly, Mark W, Torrillo, Lisa D, et al. Endoscopic radial artery harvesting: results of first 300 patients. Ann. Thorac Surg 2002;74:502-6.
2. Lin, Tzu-Yu, Chiu, Kuan-Ming, et al. Carbon dioxide embolism during endoscopic saphenous vein harvesting in coronary artery bypass surgery. J of Thorac Cardiovasc Surg Vol 126, Num 6, 2011-15.
3. Allen, Keith B. A comparison of endoscopic thermal dissectors regarding vascular and thermal injury. Surgical Physician Assistant, January 2003.
4. Lai, Tianjie, Babb, Yarrow, et al. The transition from open to endoscopic saphenous vein harvesting and its clinical impact. Tex Heart Inst J 2006;33:3: 316-20.
5. Desai, Nimesh D, Naylor, C. David, et al. Impact of patient and target-vessel characteristics on arterial and venous bypass graft patency. Insight from a randomized trial. Circulation 2007;684-91.
6. Tatoulis, James, Buxton, Brian F, et al. Total arterial coronary revascularization: techniques and results in 3,220 patients. Ann Thorac Surg 1999;68-2093-9.
7. Allen, Keith, Cheng, Davy, et al. Endoscopic vascular harvest in coronary artery bypass grafting surgery: a consensus statement of the international society of minimally invasive cardiothoracic surgery (ISMICS) 2005. Innovations 2005;1:51-60.
8. Brown, Emile N, Kon, Zachary N, et al. Strategies to reduce intraluminal clot formation in endoscopically harvested saphenous veins. J of Thorac Cardiovasc Surg Vol 134, Num 5 1259-65.
9. Shapira, Oz M, Eskenazi, Benjamin R, et al. Endoscopic versus conventional radial artery harvest for coronary artery bypass grafting: Functional and histologic assessment of the conduit. J of Thorac Cardiovasc Surg Vol 131, Num 2; 388-94.
10. Desai, Nimesh D, Cohen, Eric A, et al. A randomized comparison of radial-artery and saphenous-vein coronary bypass grafts. N Engl J Med 2004;351:2302-09.
11. Chiu, Kuan-Ming, Lin, Tzu-Yu, et al. Reduction of Carbon dioxide Embolism for Endoscopic Saphenous Vein Harvesting. Ann Thorac Surg 2006;81:1697-9.
12. Kypson, Alan P. Sudden cardiac arrest after coronary artery bypass grafting as a result of massive carbon dioxide embolism. J of Thorac Cardiovasc Surg 130:936-7.