Endoscopic or No-Touch Vein Harvesting for CABG: What is Best for the Patient?

Kopjar, Tomislav; Ivanković, Stjepan; Lima, Melchior Luiz; Pinheiro, Bruno Botelho; Dashwood, Michael R.

doi:10.5935/1678-9741.20160091

Cited by 1 publication

(1 citation statement)

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“…However, there were comments regarding increased hospital costs for EVH and the importance of training and regular experience for any clinician doing this procedure (suggested to be up to 30 sessions or more). For more comprehensive reviews on EVH vs. NT SVG see [22,76] .…”

Section: Endoscopic Vein Harvestingmentioning

confidence: 99%

Twenty-Five Years of No-Touch Saphenous Vein Harvesting for Coronary Artery Bypass Grafting: Structural Observations and Impact on Graft Performance

Samano¹,

Souza²,

Pinheiro³

et al. 2020

Braz J Cardiovasc Surg

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The saphenous vein is the most common conduit used in coronary artery bypass grafting (CABG) yet its failure rate is higher compared to arterial grafts. An improvement in saphenous vein graft performance is therefore a major priority in CABG. No-touch harvesting of the saphenous vein is one of the few interventions that has shown improved patency rates, comparable to that of the left internal thoracic artery. After more than two decades of no-touch research, this technique is now recognized as a Class IIa recommendation in the 2018 European Society of Cardiology and the European Association for Cardio-Thoracic Surgery guidelines on myocardial revascularization. In this review, we describe the structural alterations that occur in conventional versus no-touch saphenous vein grafts and how these changes affect graft patency. In addition, we discuss various strategies aimed at repairing saphenous vein grafts prepared at conventional CABG.

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Section: Endoscopic Vein Harvestingmentioning

confidence: 99%