No-touch technique of saphenous vein harvesting for coronary artery bypass grafting gives promise patency rate comparable to that of the left internal thoracic artery
Keywords:
coronary artery bypass grafting, no-touch technique of great saphenous vein harvesting, conventional technique of saphenous vein harvesting, multi–vessel coronary disease, surgical revascularization, atherosclerosis, ischemic heart disease
Abstract
The paper presents review of the literature in terms of the advantages of no-touch great saphenous vein (GSV) harvesting technique and its impact on long-term GSV patency for coronary artery bypass grafting compared to conventional method of vein harvesting. Presented detailed pathophysiological mechanisms of venous graft failure, using conventional GSV harvesting.
Purpose. Analysis of literature data for the optimal choice of additional vascular shunt used for coronary bypass grafting in multi – vessel coronary artery disease, based on patency rate.
Conclusion. No-touch technique of GSV harvesting provides better structural, functional, and mechanical protection of the vein wall. Perfecting the technique of this harvesting method and long-term follow up in patients with no-touch GSV grafts may reveal a graft patency comparable to that of LITA.
References
Favaloro R. G. Saphenous vein graft in the surgical treatment of coronary artery disease: operative technique |// J Thorac Cardiovasc Surg. – 1969. – Vol. 58. – P. 178–185.2.
Nwasokwa O. N. Coronary artery bypass graft disease // Ann Intern Med. – 1995. – Vol.
123. – P. 528–45. [PubMed]
Coronary bypass graft fate and patient outcome:angiographic follow-up of 5,065 grafts related to survivaland reoperation in 1,388 patients during 25 years / Fitzgibbon G. M., Kafka H. P., Leach A. J. et al. // J Am Coll Cardiol. – 1996.– Vol. 28. – P. 616–26. [PubMed]
Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? /Papakonstantinou NA, Baikoussis NG, Goudevenos J et al. // Ann Card Anaesth. – 2016. – Vol. 19. – P. 481–8.
Parang P., Arora R. Coronary vein graft disease: Pathogenesis and prevention // Can J Cardiol. – 2009. – Vol. 25. – e57–62.
Arterial intimal hyperplasia after occlusion of the adventitial vasa vasorum in the pig / S. G. Barker, A. Talbert, S. Cottam et al. // Arterioscler Thromb. – 1993. – Vol. 13. – P. 70–77.
The “no-touch” harvesting technique for vein grafts in coronary artery bypass surgery preserves an intact vasa vasorum / Mats Dreifaldt, Domingos S. R. Souza, Andrzej Loesch et al. // The Journal of Thoracic and Cardiovascular Surgery. – Jan 2011. – Vol. 141, Issue 1. – P. 145–150.
Modeling of elastic deformation and vascular resistance of arterial and venous vasa vasorum / G. Maurice, X. Wang, B. Lehalle, J. F. Stoltz // J Mal Vasc. – 1998. – Vol. 23. –
P. 282–288. Scotland R. S., Vallance P. J., Ahluwalia A. Endogenous factors involved inregulation of tone of arterial vasa vasorum: implications for conduit vessel physiology//
Cardiovasc Res. – 2000. – Vol. 46. – P. 403–411.
Malone J. M., Kischer C. W., Moore W. S. Changes in venous endothelial fibrinolytic activity and histology with in vitro venous distention and arterial implantation // Am J Surg. – 1981. – Vol. 142. – P. 178–82.
Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts / Angelini G. D., Passani S. L., Breckenridge I. M. et al. // Cardiovasc Res. – 1987. – Vol. 21. – P. 902–7.
Souza D. A new no-touch preparation technique. Technical notes // Scand J Thorac Cardiovasc Surg. – 1996. – Vol. 30. – P. 41–4..
«No-touch» technique using saphenous vein harvested with its surrounding tissue for coronary artery bypass grafting maintains an intact endothelium / Souza D.S., Christofferson R. H., Bomfim V. et al. // Scand Cardiovasc J. – 1999. – Vol. 33. – P. 323–9.
Preserved endothelial integrity and nitric oxide synthase in human saphenous vein harvested by a novel ‘no-touch’ technique / Tsui J., Souza D. S., Filbey D. et al. // Br J Surg. – 2001. – Vol. 88. – P. 1209–15.
Gollasch M., Dubrovska G. Paracrine role for periadventitial adipose tissue in the regulation of arterial tone // Trends Pharmacol Sci. – 2004. – Vol. 25. – P. 647–53.
High early patency of saphenous vein graft for coronary artery bypass harvested with urrounding tissue / Souza D. S, Bomfim V., Skoglund H. et al. // Ann Thorac Surg. – 2001. – Vol. 71. – P. 797–800.
Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel «no-touch» technique: Potential role of nitric oxide contribution to improved early graft patency rates / Tsui J. C., Souza D. S., Filbey D. et al. // J Vasc Surg. – 2002. – Vol. 35. – P. 356–62.
Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: Results of a randomized longitudinal trial / Souza D. S., Johansson B., Bojц L. et al. // J Thorac Cardiovasc Surg. – 2006.– Vol. 132. –
P. 373–8.
Intimal hyperplasia and expression of transforming growth factor-beta1 in saphenous veins and internal mammary arteries before coronary artery surgery / Friedl R., Li J., Schumacher B. et al. // Ann Thorac Surg. – 2004. –Vol. 78. – P. 1312–8.
Improved patency in vein grafts harvested with surrounding tissue: Results of a randomized study using three harvesting techniques / Souza D. S., Dashwood M. R., Tsui J. C. et al. // Ann Thorac Surg. – 2002. – Vol. 73. – P. 1189–95.
Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting / Rueda F. D., Souza D.,Lima Rde C et al. // Arq Bras Cardiol. – 2008. – Vol. 90. – P. 356–62.
The no-touch saphenous vein as the preferred second conduit for coronary artery bypass grafting
/ Dreifaldt M., Mannion J. D., Bodin L. et al. // Ann Thorac Surg. –2013. – Vol. 96. – P. 105–11.
RAPS Investigators. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass 39Stukov y. y . /
No-touch technique of saphenous vein harvesting for coronary artery bypass grafting gives promise...surgery: Results from RAPS (Radial Artery Patency Study) / Deb S., Cohen E. A., Singh S. K. et al. // J Am Coll Cardiol. – 2012. – Vol. 60. – P. 28–35.
Slower progression of atherosclerosis in vein grafts harvested with ‘no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting:An angiographic and intravascular ultrasound study / Johansson B. L., Souza D. S., Bodin L. et al. // Eur J Cardiothorac Surg. – 2010. – Vol. 38. – P. 414–9.
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 / Ninos Samano, Hakan Geijer, Mats Liden et al. // The Journal of Thoracic and Cardiovascular Surgery. – Oct 2015. –
Vol. 150, Issue 4. – P. 880–888.
Saphenous vein graft harvesting and patency: no-touch harvesting is the answer / Domingos Ramos De Souza, MD, PhD, Michael R. Dashwood, PhD, Ninos Samano, MD, PhD // J Thorac Cardiovasc Surg. – Oct 2017. – Vol. 154, Issue 4. – P. 1300–1301.
Benedetto, U. and Angelini, G. D. Saphenous Vein Graft Harvesting and patency: still an unanswered question // J Thorac Cardiovasc Surg. – Nov 2016. – Vol. 152, Issue 5. –
P. 1462–1463.
Eric S. Wise and Colleen M. Brophy The Case for Endothelial Preservation via Pressure-Regulated Distension in the Preparation of Autologous Saphenous Vein Conduits in Cardiac and Peripheral Bypass Operations // Front Surg. – 2016. – Vol. 3: – P. 54. PMC5031700.
The No-Touch Saphenous Vein as the Preferred Second Conduit for Coronary Artery Bypass Grafting / Mats Dreifaldt, MD, John D. Mannion, MD, PhD, Lennart Bodin, PhD, et al. // J Thorac Cardiovasc Surg. – July 2013. – Vol. 96, Issue 1. – P. 105–111.30. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study / Verma S., Lovren F., Pan YThe no-touch vein graft for coronary artery bypass surgery preserves the left ventricular ejection fraction at 16 years postoperatively: long-term data from a longitudinal randomised trial / Johansson B., Samano N., Souza D. et al. // Open Heart. – 2015. – Vol. 2:e000204. doi: https://doi.org/10.1136/openhrt-2014-000204
Pressure Control During Preparation of Saphenous Veins / Li F. D., Eagle S., Brophy C. et al. // JAMA Surg. – 2014. – Vol. 149 (7). – P. 655–662. doi: https://doi.org/10.1001 /jamasurg.2013.506733.
Correlates of Saphenous Vein Graft Hyperplasia and Occlusion 1 Year After Coronary Artery Bypass Grafting Analysis From the CASCADE Randomized Trial / Dai Une, MD; Alexander Kulik, MD; Pierre Voisine, MD; et al. // Circulation. – 2013. – Vol. 128. –S213–S218.
Necla Ozturk, Nehir Sucu, Ulku Comelekoglu et al. // Pressure applied during surgery alters the biomechanical properties of human saphenous vein graft / Heart and Vessels. – 2013. – Vol. 28, N 2. – P. 237.
Surgical vein graft preparation promotes cellular dysfunction, oxidative stress, and intimal hyperplasia in human saphenous vein / Michael J. Osgood et al. // Journal of vascular surgery. – July 2014. – Vol. 60, Issue 1. – P. 202–211.
Taggart, D., Nir, R. R., and Bolotin, G. New technologies in coronary artery surgery // Rambam Maimonides Med J. – 2013. – Vol. 4. – e0018.
Low nanomolar thapsigargin inhibits the replication of vascular smooth muscle cells through reversible endoplasmic reticular stress / Shukla N., Wan S., Angelini G. D. et al. // Eur J Pharmacol. – 2013. – Vol. 714.– P. 210–217.
Max Baghai, Lindsay C. H. John, MD. Look but don’t touch! An alternative to the gold standard? // The Journal of Thoracic and Cardiovascular Surgery August 2017. – Vol. 154, Issue 2. – P. 467–468.
Nwasokwa O. N. Coronary artery bypass graft disease // Ann Intern Med. – 1995. – Vol.
123. – P. 528–45. [PubMed]
Coronary bypass graft fate and patient outcome:angiographic follow-up of 5,065 grafts related to survivaland reoperation in 1,388 patients during 25 years / Fitzgibbon G. M., Kafka H. P., Leach A. J. et al. // J Am Coll Cardiol. – 1996.– Vol. 28. – P. 616–26. [PubMed]
Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? /Papakonstantinou NA, Baikoussis NG, Goudevenos J et al. // Ann Card Anaesth. – 2016. – Vol. 19. – P. 481–8.
Parang P., Arora R. Coronary vein graft disease: Pathogenesis and prevention // Can J Cardiol. – 2009. – Vol. 25. – e57–62.
Arterial intimal hyperplasia after occlusion of the adventitial vasa vasorum in the pig / S. G. Barker, A. Talbert, S. Cottam et al. // Arterioscler Thromb. – 1993. – Vol. 13. – P. 70–77.
The “no-touch” harvesting technique for vein grafts in coronary artery bypass surgery preserves an intact vasa vasorum / Mats Dreifaldt, Domingos S. R. Souza, Andrzej Loesch et al. // The Journal of Thoracic and Cardiovascular Surgery. – Jan 2011. – Vol. 141, Issue 1. – P. 145–150.
Modeling of elastic deformation and vascular resistance of arterial and venous vasa vasorum / G. Maurice, X. Wang, B. Lehalle, J. F. Stoltz // J Mal Vasc. – 1998. – Vol. 23. –
P. 282–288. Scotland R. S., Vallance P. J., Ahluwalia A. Endogenous factors involved inregulation of tone of arterial vasa vasorum: implications for conduit vessel physiology//
Cardiovasc Res. – 2000. – Vol. 46. – P. 403–411.
Malone J. M., Kischer C. W., Moore W. S. Changes in venous endothelial fibrinolytic activity and histology with in vitro venous distention and arterial implantation // Am J Surg. – 1981. – Vol. 142. – P. 178–82.
Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts / Angelini G. D., Passani S. L., Breckenridge I. M. et al. // Cardiovasc Res. – 1987. – Vol. 21. – P. 902–7.
Souza D. A new no-touch preparation technique. Technical notes // Scand J Thorac Cardiovasc Surg. – 1996. – Vol. 30. – P. 41–4..
«No-touch» technique using saphenous vein harvested with its surrounding tissue for coronary artery bypass grafting maintains an intact endothelium / Souza D.S., Christofferson R. H., Bomfim V. et al. // Scand Cardiovasc J. – 1999. – Vol. 33. – P. 323–9.
Preserved endothelial integrity and nitric oxide synthase in human saphenous vein harvested by a novel ‘no-touch’ technique / Tsui J., Souza D. S., Filbey D. et al. // Br J Surg. – 2001. – Vol. 88. – P. 1209–15.
Gollasch M., Dubrovska G. Paracrine role for periadventitial adipose tissue in the regulation of arterial tone // Trends Pharmacol Sci. – 2004. – Vol. 25. – P. 647–53.
High early patency of saphenous vein graft for coronary artery bypass harvested with urrounding tissue / Souza D. S, Bomfim V., Skoglund H. et al. // Ann Thorac Surg. – 2001. – Vol. 71. – P. 797–800.
Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel «no-touch» technique: Potential role of nitric oxide contribution to improved early graft patency rates / Tsui J. C., Souza D. S., Filbey D. et al. // J Vasc Surg. – 2002. – Vol. 35. – P. 356–62.
Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: Results of a randomized longitudinal trial / Souza D. S., Johansson B., Bojц L. et al. // J Thorac Cardiovasc Surg. – 2006.– Vol. 132. –
P. 373–8.
Intimal hyperplasia and expression of transforming growth factor-beta1 in saphenous veins and internal mammary arteries before coronary artery surgery / Friedl R., Li J., Schumacher B. et al. // Ann Thorac Surg. – 2004. –Vol. 78. – P. 1312–8.
Improved patency in vein grafts harvested with surrounding tissue: Results of a randomized study using three harvesting techniques / Souza D. S., Dashwood M. R., Tsui J. C. et al. // Ann Thorac Surg. – 2002. – Vol. 73. – P. 1189–95.
Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting / Rueda F. D., Souza D.,Lima Rde C et al. // Arq Bras Cardiol. – 2008. – Vol. 90. – P. 356–62.
The no-touch saphenous vein as the preferred second conduit for coronary artery bypass grafting
/ Dreifaldt M., Mannion J. D., Bodin L. et al. // Ann Thorac Surg. –2013. – Vol. 96. – P. 105–11.
RAPS Investigators. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass 39Stukov y. y . /
No-touch technique of saphenous vein harvesting for coronary artery bypass grafting gives promise...surgery: Results from RAPS (Radial Artery Patency Study) / Deb S., Cohen E. A., Singh S. K. et al. // J Am Coll Cardiol. – 2012. – Vol. 60. – P. 28–35.
Slower progression of atherosclerosis in vein grafts harvested with ‘no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting:An angiographic and intravascular ultrasound study / Johansson B. L., Souza D. S., Bodin L. et al. // Eur J Cardiothorac Surg. – 2010. – Vol. 38. – P. 414–9.
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 / Ninos Samano, Hakan Geijer, Mats Liden et al. // The Journal of Thoracic and Cardiovascular Surgery. – Oct 2015. –
Vol. 150, Issue 4. – P. 880–888.
Saphenous vein graft harvesting and patency: no-touch harvesting is the answer / Domingos Ramos De Souza, MD, PhD, Michael R. Dashwood, PhD, Ninos Samano, MD, PhD // J Thorac Cardiovasc Surg. – Oct 2017. – Vol. 154, Issue 4. – P. 1300–1301.
Benedetto, U. and Angelini, G. D. Saphenous Vein Graft Harvesting and patency: still an unanswered question // J Thorac Cardiovasc Surg. – Nov 2016. – Vol. 152, Issue 5. –
P. 1462–1463.
Eric S. Wise and Colleen M. Brophy The Case for Endothelial Preservation via Pressure-Regulated Distension in the Preparation of Autologous Saphenous Vein Conduits in Cardiac and Peripheral Bypass Operations // Front Surg. – 2016. – Vol. 3: – P. 54. PMC5031700.
The No-Touch Saphenous Vein as the Preferred Second Conduit for Coronary Artery Bypass Grafting / Mats Dreifaldt, MD, John D. Mannion, MD, PhD, Lennart Bodin, PhD, et al. // J Thorac Cardiovasc Surg. – July 2013. – Vol. 96, Issue 1. – P. 105–111.30. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study / Verma S., Lovren F., Pan YThe no-touch vein graft for coronary artery bypass surgery preserves the left ventricular ejection fraction at 16 years postoperatively: long-term data from a longitudinal randomised trial / Johansson B., Samano N., Souza D. et al. // Open Heart. – 2015. – Vol. 2:e000204. doi: https://doi.org/10.1136/openhrt-2014-000204
Pressure Control During Preparation of Saphenous Veins / Li F. D., Eagle S., Brophy C. et al. // JAMA Surg. – 2014. – Vol. 149 (7). – P. 655–662. doi: https://doi.org/10.1001 /jamasurg.2013.506733.
Correlates of Saphenous Vein Graft Hyperplasia and Occlusion 1 Year After Coronary Artery Bypass Grafting Analysis From the CASCADE Randomized Trial / Dai Une, MD; Alexander Kulik, MD; Pierre Voisine, MD; et al. // Circulation. – 2013. – Vol. 128. –S213–S218.
Necla Ozturk, Nehir Sucu, Ulku Comelekoglu et al. // Pressure applied during surgery alters the biomechanical properties of human saphenous vein graft / Heart and Vessels. – 2013. – Vol. 28, N 2. – P. 237.
Surgical vein graft preparation promotes cellular dysfunction, oxidative stress, and intimal hyperplasia in human saphenous vein / Michael J. Osgood et al. // Journal of vascular surgery. – July 2014. – Vol. 60, Issue 1. – P. 202–211.
Taggart, D., Nir, R. R., and Bolotin, G. New technologies in coronary artery surgery // Rambam Maimonides Med J. – 2013. – Vol. 4. – e0018.
Low nanomolar thapsigargin inhibits the replication of vascular smooth muscle cells through reversible endoplasmic reticular stress / Shukla N., Wan S., Angelini G. D. et al. // Eur J Pharmacol. – 2013. – Vol. 714.– P. 210–217.
Max Baghai, Lindsay C. H. John, MD. Look but don’t touch! An alternative to the gold standard? // The Journal of Thoracic and Cardiovascular Surgery August 2017. – Vol. 154, Issue 2. – P. 467–468.
Published
2018-05-14
How to Cite
Stukov, Y. Y., Rudenko, S. A., Sokur, S. A., & Rudenko, M. L. (2018). No-touch technique of saphenous vein harvesting for coronary artery bypass grafting gives promise patency rate comparable to that of the left internal thoracic artery. Ukrainian Journal of Cardiovascular Surgery, (2 (31), 36-40. https://doi.org/10.30702/ujcvs/18.31/07(036-040)
Section
ISCHEMIC HEART DISEASE
