Shor-term effect of coronary artery bypass grafting by different ways for harvesting great saphenous vein_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 ZHAO Juntao , ZHANG Weifeng , LIU Guangwen , HUANG Jianling , ZHANG Fushan , ZHANG Leilei

The Seventh Ward of Cardiac Surgery, The Seventh People’s Hospital of Henan Province, Zhengzhou, 450000, P.R.China;

Corresponding author：

ZHAO Juntao, Email: 3226454@qq.com

Keywords：

Coronary artery bypass grafting; saphenous vein; no-touch technique

DOI：

10.7507/1007-4848.201708021

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To compare the short-term effect of no-touch technique and routine method for harvesting great saphenous vein in coronary artery bypass grafting. Methods The clinical data of patients receiving the great saphenous vein by no-touch technique (a NT group) or routine method (a routine group) for coronary artery bypass grafting from April 2016 to July 2017 in our hospital were retrospectively analyzed. There were 26 males and 13 females with an average age of 60.1±8.0 years ranging from 40 to 75 years in the routine group, as well as 21 males and 17 females with an average age of 61.3±6.9 years ranging from 38 to 75 years in the NT group. The operation time, postoperative ventilation duration, postoperative myocardial injury index, postoperative complications, postoperative ejection fraction, postoperative hospital stays and other indicators were compared. Results There was no statistical difference between the two groups in operation time, postoperative ventilation time, postoperative ejection fraction or postoperative hospital stays. Incisions of postoperative lower extremity in two groups successfully healed. There was no recurrence of acute myocardial infarction or death. All patients recovered and discharged. One patient was treated with thoracotomy in the routine group. One patient in the NT group had bad healing of chest incision, and one patient with acute kidney injury recovered after treatment. Conclusion The great saphenous vein by no touch technique has a good early effect in coronary artery bypass grafting without increasing the risk of surgery.

Citation： ZHAO Juntao, ZHANG Weifeng, LIU Guangwen, HUANG Jianling, ZHANG Fushan, ZHANG Leilei. Shor-term effect of coronary artery bypass grafting by different ways for harvesting great saphenous vein. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(7): 593-595. doi: 10.7507/1007-4848.201708021 Copy

1.	Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomized, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638.
2.	Cao C, Ang SC, Wolak K, et al. A meta-analysis of randomized controlled trials on mid-term angiographic outcomes for radial artery versus saphenous vein in coronary artery bypass graft surgery. Ann Cardiothorac Surg, 2013, 2(4): 401-407.
3.	Souza D. A new no-touch preparation technique. Technical notes. Scand J Thorac Cardiovasc Surg, 1996, 30(1): 41-44.
4.	Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888.
5.	杨振华, 潘柏申, 许俊堂. 中华医学会检验学会文件心肌损伤标志物的应用准则. 中华检验医学杂志, 2002, 25(3): 185-189.
6.	Effects of acadesine on the incidence of myocardial infarction and adverse cardiac outcomes after coronary artery bypass graft surgery. Multicenter Study of Perioperative Ischemia (McSPI) Research Group. Anesthesiology, 1995, 83(4): 658-673.
7.	Dreifaldt M, Mannion JD, Bodin L, et al. The no-touch saphenous vein as the preferred second conduit for coronary artery bypass grafting. Ann Thorac Surg, 2013, 96(1): 105-111.
8.	Dreifaldt M, Souza DS, Loesch A, et al. The " no-touch” harvesting technique for vein grafts in coronary artery bypass surgery preserves an intact vasa vasorum. J Thorac Cardiovasc Surg, 2011, 141(1): 145-150.
9.	Dreifaldt M, Souza D, Bodin L, et al. The vasa vasorum and associated endothelial nitric oxide synthase is more important for saphenous vein than arterial bypass grafts. Angiology, 2013, 64(4): 293-299.
10.	Dashwood MR, Souza DSR. Fifteen years of ‘no-touch’ saphenous vein harvesting in patients undergoing coronary artery bypass surgery: what have we learned? Inflammatory response in cardiovascular surgery. London: Springer, 2013. 289-298.
11.	张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831.

1. Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomized, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638.
2. Cao C, Ang SC, Wolak K, et al. A meta-analysis of randomized controlled trials on mid-term angiographic outcomes for radial artery versus saphenous vein in coronary artery bypass graft surgery. Ann Cardiothorac Surg, 2013, 2(4): 401-407.
3. Souza D. A new no-touch preparation technique. Technical notes. Scand J Thorac Cardiovasc Surg, 1996, 30(1): 41-44.
4. Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888.
5. 杨振华, 潘柏申, 许俊堂. 中华医学会检验学会文件心肌损伤标志物的应用准则. 中华检验医学杂志, 2002, 25(3): 185-189.
6. Effects of acadesine on the incidence of myocardial infarction and adverse cardiac outcomes after coronary artery bypass graft surgery. Multicenter Study of Perioperative Ischemia (McSPI) Research Group. Anesthesiology, 1995, 83(4): 658-673.
7. Dreifaldt M, Mannion JD, Bodin L, et al. The no-touch saphenous vein as the preferred second conduit for coronary artery bypass grafting. Ann Thorac Surg, 2013, 96(1): 105-111.
8. Dreifaldt M, Souza DS, Loesch A, et al. The " no-touch” harvesting technique for vein grafts in coronary artery bypass surgery preserves an intact vasa vasorum. J Thorac Cardiovasc Surg, 2011, 141(1): 145-150.
9. Dreifaldt M, Souza D, Bodin L, et al. The vasa vasorum and associated endothelial nitric oxide synthase is more important for saphenous vein than arterial bypass grafts. Angiology, 2013, 64(4): 293-299.
10. Dashwood MR, Souza DSR. Fifteen years of ‘no-touch’ saphenous vein harvesting in patients undergoing coronary artery bypass surgery: what have we learned? Inflammatory response in cardiovascular surgery. London: Springer, 2013. 289-298.
11. 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Shor-term effect of coronary artery bypass grafting by different ways for harvesting great saphenous vein

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