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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.

Authors :
Elshafay A
Bendary AH
Vuong HT
Ahmed AR
Mokhtar MA
Soliman AL
Vuong NL
Bestawi IAE
Abdallah NA
Vu VT
Hirayama K
Huy NT
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.

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