Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery
Vein grafts are the most used conduits in coronary artery bypass grafting (CABG), even though many studies have suggested their lower patency compared to arterial alternatives. We have reviewed the techniques and technologies that have been investigated over the years with the aim of improving the q...
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| Format: | Article |
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MDPI AG
2024-01-01
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| Series: | Medical Sciences |
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| Online Access: | https://www.mdpi.com/2076-3271/12/1/6 |
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| author | Marco Gemelli Mariangela Addonizio Veronica Geatti Michele Gallo Lauren K. Dixon Mark S. Slaughter Gino Gerosa |
| author_facet | Marco Gemelli Mariangela Addonizio Veronica Geatti Michele Gallo Lauren K. Dixon Mark S. Slaughter Gino Gerosa |
| author_sort | Marco Gemelli |
| collection | DOAJ |
| description | Vein grafts are the most used conduits in coronary artery bypass grafting (CABG), even though many studies have suggested their lower patency compared to arterial alternatives. We have reviewed the techniques and technologies that have been investigated over the years with the aim of improving the quality of these conduits. We found that preoperative and postoperative optimal medical therapy and no-touch harvesting techniques have the strongest evidence for optimizing vein graft patency. On the other hand, the use of venous external support, endoscopic harvesting, vein preservation solution and anastomosis, and graft configuration need further investigation. We have also analyzed strategies to treat vein graft failure: when feasible, re-doing the CABG and native vessel primary coronary intervention (PCI) are the best options, followed by percutaneous procedures targeting the failed grafts. |
| first_indexed | 2024-04-24T18:01:33Z |
| format | Article |
| id | doaj.art-69eb4d0856124255b79f7bf8bc48c1c5 |
| institution | Directory Open Access Journal |
| issn | 2076-3271 |
| language | English |
| last_indexed | 2024-04-24T18:01:33Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
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| series | Medical Sciences |
| spelling | doaj.art-69eb4d0856124255b79f7bf8bc48c1c52024-03-27T13:53:57ZengMDPI AGMedical Sciences2076-32712024-01-01121610.3390/medsci12010006Techniques and Technologies to Improve Vein Graft Patency in Coronary SurgeryMarco Gemelli0Mariangela Addonizio1Veronica Geatti2Michele Gallo3Lauren K. Dixon4Mark S. Slaughter5Gino Gerosa6Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padova, ItalyCardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padova, ItalyCardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padova, ItalyDepartment of Cardiothoracic Surgery, University of Louisville, Louisville, KY 40292, USAClinical Effectiveness Unit, The Royal College of Surgeons of England, London WC2A 3PE, UKDepartment of Cardiothoracic Surgery, University of Louisville, Louisville, KY 40292, USACardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padova, ItalyVein grafts are the most used conduits in coronary artery bypass grafting (CABG), even though many studies have suggested their lower patency compared to arterial alternatives. We have reviewed the techniques and technologies that have been investigated over the years with the aim of improving the quality of these conduits. We found that preoperative and postoperative optimal medical therapy and no-touch harvesting techniques have the strongest evidence for optimizing vein graft patency. On the other hand, the use of venous external support, endoscopic harvesting, vein preservation solution and anastomosis, and graft configuration need further investigation. We have also analyzed strategies to treat vein graft failure: when feasible, re-doing the CABG and native vessel primary coronary intervention (PCI) are the best options, followed by percutaneous procedures targeting the failed grafts.https://www.mdpi.com/2076-3271/12/1/6CABGvein graftgraft patencylong-term outcomesvein graft failure |
| spellingShingle | Marco Gemelli Mariangela Addonizio Veronica Geatti Michele Gallo Lauren K. Dixon Mark S. Slaughter Gino Gerosa Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery Medical Sciences CABG vein graft graft patency long-term outcomes vein graft failure |
| title | Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery |
| title_full | Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery |
| title_fullStr | Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery |
| title_full_unstemmed | Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery |
| title_short | Techniques and Technologies to Improve Vein Graft Patency in Coronary Surgery |
| title_sort | techniques and technologies to improve vein graft patency in coronary surgery |
| topic | CABG vein graft graft patency long-term outcomes vein graft failure |
| url | https://www.mdpi.com/2076-3271/12/1/6 |
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