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Does No-Touch Technique Better than Conventional or Intermediate Saphenous Vein Harvest Techniques for Coronary Artery Bypass Graft Surgery: a Systematic Review and Meta-analysis.
Does No-Touch Technique Better than Conventional or Intermediate Saphenous Vein Harvest Techniques for Coronary Artery Bypass Graft Surgery: a Systematic Review and Meta-analysis.
- Source :
-
Journal of cardiovascular translational research [J Cardiovasc Transl Res] 2018 Dec; Vol. 11 (6), pp. 483-494. Date of Electronic Publication: 2018 Oct 12. - Publication Year :
- 2018
-
Abstract
- Saphenous vein (SV) is a common graft being used in coronary artery bypass grafting (CABG). Conventional (CON), intermediate (I), and no-touch (NT) are the most common harvesting techniques of SV for CABG. The aim of this study is to systematically review the NT versus CON and I techniques in harvesting SV for CABG. Twelve databases were searched for randomized controlled trials comparing the CON, I, and NT techniques in harvesting SV for CABG. Twelve reports of six RCTs were included. Our meta-analysis showed that with NT technique, patency rate was significantly higher when compared to I technique up to 18-month follow-up duration. In contrast, this significant difference was not maintained in terms of minor complications of leg wounds with both techniques. The NT has significantly higher patency rate compared to I vein harvesting technique. However, more RCTs are warranted to confirm these results.
- Subjects :
- Coronary Artery Disease mortality
Coronary Artery Disease physiopathology
Graft Occlusion, Vascular etiology
Graft Occlusion, Vascular physiopathology
Humans
Risk Factors
Saphenous Vein physiopathology
Time Factors
Tissue and Organ Harvesting adverse effects
Tissue and Organ Harvesting mortality
Treatment Outcome
Vascular Patency
Coronary Artery Bypass adverse effects
Coronary Artery Bypass mortality
Coronary Artery Disease surgery
Saphenous Vein transplantation
Tissue and Organ Harvesting methods
Subjects
Details
- Language :
- English
- ISSN :
- 1937-5395
- Volume :
- 11
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of cardiovascular translational research
- Publication Type :
- Academic Journal
- Accession number :
- 30315504
- Full Text :
- https://doi.org/10.1007/s12265-018-9832-y