Preview

Complex Issues of Cardiovascular Diseases

Advanced search

FEATURES LESS TRAUMATIC EXPLANTATION GREAT SAPHENOUS VEIN FOR CORONARY ARTERY BYPASS GRAFTING

https://doi.org/10.17802/2306-1278-2017-2-32-39

Abstract

The purpose. Preservation of native properties of autologous vein for coronary artery bypass grafting.

Materials and methods. The use of preoperative ultrasound marking saphenous veins, ultrasonic harmonic scalpel, axial intraoperative marking outs.

Results. The use of techniques proposed by sparing with explantation and transposition outs in the coronary arteries, in contrast to the classical methods, can significantly increase the duration of the functioning autovenous coronary bypass grafts in patients with coronary heart disease in the long term.

Conclusions. Studies have shown that improving techniques of careful explantation outs for coronary artery bypass grafting and qualitative positioning in the coronary arteries, contribute to a better patency vein grafts in the late postoperative period.

About the Authors

A. A. Semagin
Federal State Institution "Federal Centre for Cardiovascular Surgery," the Ministry of Health of the Russian Federation
Russian Federation


O. P. Lukin
Federal State budget of higher education "South Ural State Medical University" of Ministry of Health of the Russian Federation
Russian Federation


I. A. Andrievskih
Federal State Institution "Federal Centre for Cardiovascular Surgery," the Ministry of Health of the Russian Federation
Russian Federation


References

1. Cao C., Ang Su C., Wolak K., Peeceeyen S., Bannon P.,Yan T.D. A meta-analysis of randomized controlled trials on mid-term angiographic outcomes for radial artery versus saphenous vein in coronary artery bypass graft surgery. J Thorac. Cardiovasc. Surg. 2013 Aug;146(2): 255-61. DOI: 10.1016/j.jtcvs.2012.07.014.

2. Raja S.G., Haider Z., Ahmad M., Zaman H. Saphenous vein grafts: to use or not to use? Heart Lung Circ. 2004; 13: 403–9.

3. Dreifaldt M., Souza D.S., Loesch A., Muddle J.R., Karlsson M.G., Filbey D. et al. The "no-touch" harvesting technique for vein grafts in coronary artery bypass surgery preserves an intact vasa vasorum. J Thorac. Cardiovasc. Surg. 2011 Jan;141(1):145-50. doi: 10.1016/j.jtcvs.2010.02.005.

4. Souza D.S., Johansson B., Bojö L., Karlsson R., Geijer H., Filbey D. et al. 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. J. Thorac. Cardiovasc. Surg. 2006 Aug; 132: 373 - 378. DOI:10.1016/j.jtcvs.2006.04.002.

5. Deb S., Cohen E.A., Singh S.K. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J. Am. Coll. Cardiol. 2012 Jul. 3; 60(1): 28-35. DOI: 10.1016/j.jacc.2012.03.037.

6. Афанасьева Ю.И., Кузнецова С.Л., Юриной Н.А. Гистология, цитология и эмбриология. 6-е изд. М.: Медицина; 2006. Afanas'eva Ju.I., Kuznecova S.L., Jurinoj N.A. Gistologija, citologija i jembriologija. 6-e izd. M.: Medicina; 2006. [In Russ].

7. Ratliff N.B., Myles J.L. Rapidly progressive atherosclerosis in aortocoronary saphenous vein grafts. Possible immune-mediated disease. Arch. Pathol. Lab.Med. 1989 Jul; 113(7): 772-6.

8. Dreifaldt M., Souza D., Bodin L. The vasa vasorum and associated endothelial nitric oxide synthase is more important for saphenous vein than arterial bypass grafts. Angiology. 2012; 64 (4): 293-299.

9. Soyombo A.A., Angelini G.D., Bryan A.J., Newby A.C. Surgical preparation induces injury and promotes smooth muscle cell proliferation in a culture of human saphenous vein. Cardiovasc. Res.1993; 27: 1961-7. DOI: http://dx.doi.org/10.1093/cvr/27.11.1961


Review

For citations:


Semagin A.A., Lukin O.P., Andrievskih I.A. FEATURES LESS TRAUMATIC EXPLANTATION GREAT SAPHENOUS VEIN FOR CORONARY ARTERY BYPASS GRAFTING. Complex Issues of Cardiovascular Diseases. 2017;(2):32-39. (In Russ.) https://doi.org/10.17802/2306-1278-2017-2-32-39

Views: 614


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)