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Year : 2022  |  Volume : 5  |  Issue : 1  |  Page : 18-21

AccuVein® fails to facilitate venous marking for saphenous veins harvesting in untrained students

1 University Hospital Center, Angers, France
2 University Hospital Rangueil, Toulouse, France
3 University Hospital Center; Faculty of Medicine, MitoVasc Institute UMR CNRS 6015/INSERM 1083, Angers University, Angers, France

Correspondence Address:
Dr. Samir Henni
Médecine Vasculaire, Centre Hospitalier Universitaire, 4 Rue Larrey, 49 933 Angers Cedex 9
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2589-9686.340416

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CONTEXT: Ultrasound marking of saphenous veins before vein harvesting facilitates the surgical procedure but is time-consuming. AIM: We evaluated the time benefit of saphenous veins marking by the AccuVein® AV400 system (AccuVein Inc., NY, USA) coupled with ultrasound, over ultrasound alone. SETTINGS AND DESIGN: Multi-center open-label randomized interventional study in two parallel groups. SUBJECTS AND METHODS: After randomization, saphenous veins markings were performed using either AccuVein® coupled with ultrasound or ultrasound alone. One-leg marking time, vascular physician postexamination satisfaction rating, and number of single-use felt markers used were recorded. STATISTICAL ANALYSES: The continuous variables were compared using the Fisher test, whereas Likert scale scores were compared using the nonparametric Mann−Whitney test. The learning effect was evaluated by linear and nonlinear regression models. RESULTS: The average duration of saphenous veins marking (459 ± 184 vs 555 ± 226 s, P = 0.116) and the number of felt markers used were not significantly different between the two techniques. Vascular physician satisfaction was significantly lower with than without the AccuVein® associated to ultrasound. CONCLUSIONS: AccuVein® examination coupled with ultrasound as part of the marking process does not provide a significant benefit in terms of time, satisfaction, or need for markers.

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