The Clinical Utility of No-Touch Saphenous Vein Grafting as a Second Conduit in Multivessel Coronary Artery Bypass Surgery.

ABSTRACT:

Purpose

We aimed to compare the midterm outcomes of the no-touch saphenous vein graft (NT-SVG) as a second conduit with those of other graft types.

Methods

We retrospectively reviewed 549 consecutive patients who underwent multivessel isolated coronary artery bypass grafting (CABG) with ≥2 distal anastomoses between 2002 and 2024. Five conduit groups for non-LAD grafting were analyzed: in situ internal thoracic artery (ITA), free ITA, conventional saphenous vein graft (cSVG), NT-SVG, and right gastroepiploic artery (rGEA). We analyzed conduit-specific patency and propensity score-matched patency between cSVG and NT-SVG.

Results

The mean age was 68.6 ± 9.5 years, and 74% were men. Off-pump CABG was performed in 60.5% of cases, with a mean of 3.3 ± 0.9 distal anastomose

SUBMITTER: Kurazumi H 

PROVIDER: S-EPMC12620506 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature