Costs of Endoscopic vs Open Vein Harvesting for Coronary Artery Bypass Grafting

Key Points Question Is there any difference in health care costs for patients who undergo endoscopic vein harvesting rather than open vein harvesting during a coronary artery bypass surgical procedure? Findings In this secondary analysis of cost outcomes from a randomized clinical trial involving 1150 participants undergoing a coronary artery bypass procedure, the use of endoscopic vein harvesting was not associated with lower costs at discharge or over time compared with open vein harvesting. None of the cost end points were significantly different. Meaning This study’s findings suggest that the choice to use endoscopic vein harvesting does not increase economic burden and may be based on surgeon and patient preferences.

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