Bridging saphenous vein harvesting versus conventional techniques in patients undergoing coronary artery bypass grafting in Suez Canal university hospital

Elbassioni, Ali Ali Mohamed; Amr, Mohamed A.; Hassan, Hassan Salah; Eldomiaty, Hany

doi:10.1016/j.jescts.2017.06.006

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…This eventually reduces the need of prolonged post-operative care or a subsequent procedure. 17,18 However, the use of bridging technique for radial artery harvesting was not noted in literature. We used the interrupted/bridging technique for radial artery harvesting and achieved better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Radial artery harvesting with skin bridge technique among patients undergoing coronary artery bypass grafting: an approach for developing countries

Junejo,

Virani,

Mahmood Khan

et al. 2023

J Pak Med Assoc

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The risk of wound dehiscence and sternal infections remains high after coronary artery bypass grafting, especially in patients with diabetes. Radial artery is a potential alternative which has shown good post-operative outcomes with least complications. Open and endoscopic techniques for harvesting have been used till now. We propose an interrupted or bridging technique, for harvesting the radial artery. This report describes 25 patients undergoing CABG, using radial artery graft, harvested via skin bridge technique, at South City Hospital, Karachi. It in better cosmetic outcome, reduced postoperative pain, shortened hospital stays and increased level of satisfaction. The interrupted technique offers less invasive cost-effective approach compared to open and endoscopic techniques for radial artery harvesting. Key words: Coronary artery bypass grafting, Radial artery harvesting, Arterial revascularisation.

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Section: Discussionmentioning

confidence: 99%

Radial artery harvesting with skin bridge technique among patients undergoing coronary artery bypass grafting: an approach for developing countries

Junejo,

Virani,

Mahmood Khan

et al. 2023

J Pak Med Assoc

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“…A number of RCTs were performed to compare patients' outcomes between these techniques, and several systematic reviews and meta-analyses were carried out, but there has been still no highly dominant technique [9,10,12,13,17]. However, these systematic reviews compared only two pre-defined techniques, and there are some large RCTs in this topic that have been still not included in any pooled result [16,[18][19][20][21][22][23]. Therefore, we performed this systematic review and network meta-analysis to find the most optimal procedure within all available current GSV harvesting techniques.…”

Section: Introductionmentioning

confidence: 99%

Saphenous vein harvesting techniques for coronary artery bypass grafting: a systematic review and meta-analysis

Vuong¹,

Elfaituri²,

Eldoadoa³

et al. 2021

Coronary Artery Disease

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The great saphenous vein (GSV) graft remains a frequently used conduit for coronary artery bypass graft (CABG) surgery. The optimal technique for GSV harvesting has been the subject of on-going controversy. We therefore sought to conduct a systematic review and meta-analysis of all available GSV harvesting techniques in CABG. A systematic search of 12 electronic databases was performed to identify all randomized controlled trials (RCTs) of any GSV harvesting technique, including conventional vein harvesting (CVH), no-touch, standard bridging technique (SBT) and endoscopic vein harvesting (EVH) techniques. We investigated safety and long-term efficacy outcomes. All outcomes were analyzed using the frequentist network meta-analysis. A total of 6480 patients from 34 RCTs were included. For safety outcomes, EVH reduced 91% and 77% risk of wound infection compared to no-touch and CVH, respectively. EVH and SBT also significantly reduced the risk of sensibility disorder and postoperative pain. The techniques were not significantly different regarding long-term efficacy outcomes, including mortality, myocardial infarction and graft patency. For GSV harvesting for CABG, EVH techniques are the most favorable, but in case of using an open technique, no-touch is more recommended than CVH. More effective and safer procedures should be investigated for GSV harvesting in CABG.

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Long Saphenous Vein Harvesting: Reviewing Various Techniques

Raja

Duric

Khashkhusha

et al. 2023

Cardiology in Review

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Ischemic heart disease is the leading cause of mortality and morbidity in the Western world. Thus, coronary artery bypass graft is the most common cardiac procedure performed as it remains the gold standard for multiple vessel disease and left main disease. Long saphenous vein is the conduit of choice for coronary artery bypass graft as it is accessible and easy to harvest. Over the previous 4 decades, several techniques have emerged to optimize harvesting and reducing adverse clinical outcomes. The most cited techniques are open vein harvesting, no-touch technique, endoscopic vein harvesting, and standard bridging technique. In this literature review, we aim to summarize current literature for each of the 4 techniques in terms of: (A) graft patency and attrition, (B) myocardial infarction and revascularization, (C) wound infections, (D) postoperative pain, and (E) patient satisfaction.

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Bridging saphenous vein harvesting versus conventional techniques in patients undergoing coronary artery bypass grafting in Suez Canal university hospital

Cited by 5 publications

References 10 publications

Radial artery harvesting with skin bridge technique among patients undergoing coronary artery bypass grafting: an approach for developing countries

Radial artery harvesting with skin bridge technique among patients undergoing coronary artery bypass grafting: an approach for developing countries

Saphenous vein harvesting techniques for coronary artery bypass grafting: a systematic review and meta-analysis

Long Saphenous Vein Harvesting: Reviewing Various Techniques

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