Proximal first: a beneficial strategy for no-touch saphenous vein graft

In the mid-1990s, a novel saphenous vein harvesting technique, in which the vein is harvested with its surrounding tissue without manual distention, was introduced. This no-touch technique provides an excellent long-term patency; however, graft twisting and kinking should be given attention. To full...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2018-11, Vol.27 (5), p.692-694
Main Authors: Hamasaki, Azumi, Uchida, Tetsuro, Mizumoto, Masahiro, Hayashi, Jun, Hirooka, Shuto, Ishizawa, Ai, Akabane, Kentaro, Sadahiro, Mitsuaki
Format: Article
Language:English
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Summary:In the mid-1990s, a novel saphenous vein harvesting technique, in which the vein is harvested with its surrounding tissue without manual distention, was introduced. This no-touch technique provides an excellent long-term patency; however, graft twisting and kinking should be given attention. To fully bring out the benefit of the no-touch method while reducing the risk of twisting and kinking, we have modified the anastomosis strategy. Our simple modified strategy involved a proximal anastomosis prior to the distal anastomosis. This strategy was successfully used in 16 patients.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivy143