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Surgical Aspects of No-Touch Saphenous Vein Graft Harvesting in CABG: Clinical and Angiographic Follow-Up at 3 Months
Örebro University Hospital. Örebro University, School of Medical Sciences. Department of Cardiothoracic and Vascular Surgery, University Health Care Research Center.ORCID iD: 0000-0003-4249-8401
Department Cardiovascular Surgery, Hospital do Coração Anis Rassi, Goiânia, GO, Brazil.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Cardiothoracic and Vascular Surgery.
2019 (English)In: Brazilian Journal of Cardiovascular Surgery, ISSN 0102-7638, E-ISSN 1678-9741, Vol. 34, no 1, p. 98-100Article in journal (Refereed) Published
Abstract [en]

With more than 800,000 coronary artery bypass grafting (CABG) operations annually worldwide and the saphenous vein being the most common conduit used, there is no question that improving saphenous vein graft patency is one of the most important tasks in CABG. This video describes the no-touch harvesting procedure of the saphenous vein on an 80-year old man with hypertension, hyperlipidemia and a previous myocardial infarction with percutaneous coronary intervention to the right coronary artery. He was complaining of exertional chest pain and was diagnosed with stable angina pectoris. The coronary angiography showed advanced three vessel disease with significant stenoses in the left anterior descending (LAD) artery, two marginal arteries (MAs) and the posterior descending artery (PDA), in addition to an occluded diagonal artery (DA). The patient received a triple sequential no-touch vein graft to the PDA and two MAs together with a double sequential no-touch vein graft to the DA and LAD. A vein graft was used to bypass the LAD due to the age of the patient and the low degree of stenosis in the LAD. The no-touch harvesting technique is described in detail in the film with complete narration. A follow-up of this patient was performed at three months both clinically and with a computed tomography angiography (CTA). No angina pectoris symptoms were reported by the patient and the wounds in the chest and lower limb were completely healed. The CTA showed patent no-touch saphenous vein grafts to all the distal anastomoses.

Place, publisher, year, edition, pages
Sociedade Brasileira de Cirurgia Cardiovascular , 2019. Vol. 34, no 1, p. 98-100
Keywords [en]
Coronary Artery Bypass, Saphenous Vein, Vascular Patency, Mammary Arteries
National Category
Cardiac and Cardiovascular Systems Surgery
Identifiers
URN: urn:nbn:se:oru:diva-73407DOI: 10.21470/1678-9741-2018-0352ISI: 000461755200017PubMedID: 30810681Scopus ID: 2-s2.0-85062759644OAI: oai:DiVA.org:oru-73407DiVA, id: diva2:1300643
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-03-29Bibliographically approved

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Samano, Ninosde Souza, Domingos Ramos

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