Stable Hemodynamics within “No-Touch” Saphenous Vein Graft
Purpose: To investigate the hemodynamics characteristics of the “no-touch” saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.Methods: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending...
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| Published in | Annals of Thoracic and Cardiovascular Surgery Vol. 26; no. 2; pp. 88 - 94 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Japan
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
01.01.2020
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| Online Access | Get full text |
| ISSN | 1341-1098 2186-1005 2186-1005 |
| DOI | 10.5761/atcs.oa.19-00156 |
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| Abstract | Purpose: To investigate the hemodynamics characteristics of the “no-touch” saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.Methods: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with “no-touch” harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively.Results: The baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01).Conclusions: No-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation. |
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| AbstractList | To investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.PURPOSETo investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with "no-touch" harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively.METHODSA total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with "no-touch" harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively.The baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01).RESULTSThe baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01).No-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation.CONCLUSIONSNo-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation. Purpose: To investigate the hemodynamics characteristics of the “no-touch” saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.Methods: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with “no-touch” harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively.Results: The baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01).Conclusions: No-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation. To investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment. A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with "no-touch" harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively. The baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01). No-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation. Purpose: To investigate the hemodynamics characteristics of the “no-touch” saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment. Methods: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with “no-touch” harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. The intraoperative flow was measured with the ultrasonic transit time flow meter (TTFM), and the graft patency testified by multi-detector computed tomography (MDCT) angiography, respectively. Results: The baseline blood flow was higher in group A than that in group B (p <0.05). However, the increases in blood flow of SVG conduits in group A were lower than those in group B with 19.7 ± 5.9 vs. 35.4 ± 9.2 mL/min, 14.8 ± 5.6 vs. 23.1 ± 6.8 mL/min, 6.6 ± 2.1 vs. 11.2 ± 4.3 mL/min before the first, second, and third anastomose after nicardipine intraluminal administration, respectively (all p <0.01). Conclusions: No-touch SVGs were associated with higher baseline blood flow and less rises after nicardipine intraluminal administration during off-pump CABG procedure compared with conventional preparation. The no-touch SVGs seemed to be less spastic and well-tolerated on flow dilatation. |
| Author | Yang, Yan Sun, Hansong Lv, Feng Jiang, Qin Tang, Yue Hu, Shengshou |
| Author_xml | – sequence: 1 fullname: Yang, Yan organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China – sequence: 1 fullname: Jiang, Qin organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China – sequence: 1 fullname: Sun, Hansong organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China – sequence: 1 fullname: Tang, Yue organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China – sequence: 1 fullname: Lv, Feng organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China – sequence: 1 fullname: Hu, Shengshou organization: Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China |
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| CitedBy_id | crossref_primary_10_1016_j_amjcard_2024_10_004 crossref_primary_10_1080_08941939_2020_1726531 crossref_primary_10_7759_cureus_50777 crossref_primary_10_1016_j_xjon_2025_02_007 crossref_primary_10_1161_CIRCULATIONAHA_120_052163 crossref_primary_10_31083_j_rcm2505181 crossref_primary_10_1515_iss_2023_0003 crossref_primary_10_1111_cts_13862 crossref_primary_10_1161_JAHA_124_035424 crossref_primary_10_5761_atcs_oa_23_00066 |
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| Keywords | nicardipine saphenous vein no-touch technique off-pump coronary artery bypass |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 E-mail: shengshouhu@yahoo.com Qin Jiang, Hansong Sun, and Feng Lv contributed equally. |
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| References | 19) Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg 2014; 45: 717-25. 2) Blachutzik F, Achenbach S, Troebs M, et al. Angiographic findings and revascularization success in patients with acute myocardial infarction and previous coronary bypass grafting. Am J Cardiol 2016; 118: 473-6. 20) Gaudino M, Antoniades C, Benedetto U, et al. Mechanisms, consequences, and prevention of coronary graft failure. Circulation 2017; 136: 1749-64. 18) Dreifaldt M, Souza DS, Loesch A, 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; 141: 145-50. 22) Hosono M, Murakami T, Hirai H, et al. The risk factor analysis for the late graft failure of radial artery graft in coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2019; 25: 32-8. 7) Vestergaard LP, Benhassen L, Modrau IS, et al. Increased contractile function of human saphenous vein grafts harvested by “no-touch” technique. Front Physiol 2017; 8: 1135. 6) Fernández-Alfonso MS, Gil-Ortega M, Aranguez I, et al. Role of PVAT in coronary atherosclerosis and vein graft patency: friend or foe? Br J Pharmacol 2017; 174: 3561-72. 10) Mannion JD, Marelli D, Brandt T, et al. “No-touch” versus “endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila) 2014; 9: 306-11. 23) Kopjar T, Dashwood MR, Gasparovic H, et al. No difference in 1-year wound morbidity following no-touch versus conventional vein harvesting for coronary artery bypass surgery: a new beginning. Eur J Cardiothorac Surg 2014; 46: 1043-4. 9) Jiang Q, Xiang B, Wang H, et al. Remote ischaemic preconditioning ameliorates sinus rhythm restoration rate through Cox maze radiofrequency procedure associated with inflammation reaction reduction. Basic Res Cardiol 2019; 114: 14. 8) Habibzadeh MR, Thai H, Movahed MR. Prophylactic intragraft injection of nicardipine prior to saphenous vein graft percutaneous intervention for the prevention of no-reflow: a review and comparison to protection devices. J Invasive Cardiol 2011; 23: 202-6. 12) Gurkan S, Gur O, Gur DO, et al. Vasodilation responses to non-selective α-adrenergic blockage of coronary bypass grafts in diabetic and non-diabetic patients: in vitro study. Ann Thorac Cardiovasc Surg 2015; 21: 146-50. 11) Kim HJ, Lee TY, Kim JB, et al. The impact of sequential versus single anastomoses on flow characteristics and mid-term patency of saphenous vein grafts in coronary bypass grafting. J Thorac Cardiovasc Surg 2011; 141: 750-4. 5) Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve further the patency of saphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg 2017; 103: 1489-97. 24) Deb S, Singh SK, de Souza D, et al. SUPERIOR SVG: no touch saphenous harvesting to improve patency following coronary bypass grafting (a multi-Centre randomized control trial, NCT01047449). J Cardiothorac Surg 2019; 14: 85. 15) Seki T, Yoshida T. Comparison of mid-term graft patency between on-pump and off-pump coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2017; 23: 141-8. 1) Harskamp RE, Lopes RD, Baisden CE, et al. Saphenous vein graft failure after coronary artery bypass surgery: pathophysiology, management, and future directions. Ann Surg 2013; 257: 824-33. 3) Dashwood MR, Loesch A. The saphenous vein as a bypass conduit: the potential role of vascular nerves in graft performance. Curr Vasc Pharmacol 2009; 7: 47-57. 17) Dreifaldt M, Souza D, Bodin L, et al. The vasa vasorum and associated endothelial nitric oxide synthase is more important for saphenous vein than arterial bypass grafts. Angiology 2013; 64: 293-9. 21) Li J, Liu Y, Zheng J, et al. The patency of sequential and individual vein coronary bypass grafts: a systematic review. Ann Thorac Surg 2011; 92: 1292-8. 16) Sen O, Gonca S, Solakoglu S, et al. Comparison of conventional and no-touch techniques in harvesting saphenous vein for coronary artery bypass grafting in view of endothelial damage. Heart Surg Forum 2013; 16: E177-83. 14) de Vries MR, Simons KH, Jukema JW, et al. Vein graft failure: from pathophysiology to clinical outcomes. Nat Rev Cardiol 2016; 13: 451-70. 4) Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: a randomized trial. J Thorac Cardiovasc Surg 2015; 150: 880-8. 13) Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ‘no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg 2010; 38: 414-9. 11 22 12 23 13 24 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 21 |
| References_xml | – reference: 1) Harskamp RE, Lopes RD, Baisden CE, et al. Saphenous vein graft failure after coronary artery bypass surgery: pathophysiology, management, and future directions. Ann Surg 2013; 257: 824-33. – reference: 4) Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: a randomized trial. J Thorac Cardiovasc Surg 2015; 150: 880-8. – reference: 12) Gurkan S, Gur O, Gur DO, et al. Vasodilation responses to non-selective α-adrenergic blockage of coronary bypass grafts in diabetic and non-diabetic patients: in vitro study. Ann Thorac Cardiovasc Surg 2015; 21: 146-50. – reference: 22) Hosono M, Murakami T, Hirai H, et al. The risk factor analysis for the late graft failure of radial artery graft in coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2019; 25: 32-8. – reference: 21) Li J, Liu Y, Zheng J, et al. The patency of sequential and individual vein coronary bypass grafts: a systematic review. Ann Thorac Surg 2011; 92: 1292-8. – reference: 16) Sen O, Gonca S, Solakoglu S, et al. Comparison of conventional and no-touch techniques in harvesting saphenous vein for coronary artery bypass grafting in view of endothelial damage. Heart Surg Forum 2013; 16: E177-83. – reference: 8) Habibzadeh MR, Thai H, Movahed MR. Prophylactic intragraft injection of nicardipine prior to saphenous vein graft percutaneous intervention for the prevention of no-reflow: a review and comparison to protection devices. J Invasive Cardiol 2011; 23: 202-6. – reference: 15) Seki T, Yoshida T. Comparison of mid-term graft patency between on-pump and off-pump coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2017; 23: 141-8. – reference: 23) Kopjar T, Dashwood MR, Gasparovic H, et al. No difference in 1-year wound morbidity following no-touch versus conventional vein harvesting for coronary artery bypass surgery: a new beginning. Eur J Cardiothorac Surg 2014; 46: 1043-4. – reference: 5) Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve further the patency of saphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg 2017; 103: 1489-97. – reference: 6) Fernández-Alfonso MS, Gil-Ortega M, Aranguez I, et al. Role of PVAT in coronary atherosclerosis and vein graft patency: friend or foe? Br J Pharmacol 2017; 174: 3561-72. – reference: 18) Dreifaldt M, Souza DS, Loesch A, 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; 141: 145-50. – reference: 10) Mannion JD, Marelli D, Brandt T, et al. “No-touch” versus “endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila) 2014; 9: 306-11. – reference: 9) Jiang Q, Xiang B, Wang H, et al. Remote ischaemic preconditioning ameliorates sinus rhythm restoration rate through Cox maze radiofrequency procedure associated with inflammation reaction reduction. Basic Res Cardiol 2019; 114: 14. – reference: 14) de Vries MR, Simons KH, Jukema JW, et al. Vein graft failure: from pathophysiology to clinical outcomes. Nat Rev Cardiol 2016; 13: 451-70. – reference: 19) Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg 2014; 45: 717-25. – reference: 7) Vestergaard LP, Benhassen L, Modrau IS, et al. Increased contractile function of human saphenous vein grafts harvested by “no-touch” technique. Front Physiol 2017; 8: 1135. – reference: 24) Deb S, Singh SK, de Souza D, et al. SUPERIOR SVG: no touch saphenous harvesting to improve patency following coronary bypass grafting (a multi-Centre randomized control trial, NCT01047449). J Cardiothorac Surg 2019; 14: 85. – reference: 20) Gaudino M, Antoniades C, Benedetto U, et al. Mechanisms, consequences, and prevention of coronary graft failure. Circulation 2017; 136: 1749-64. – reference: 11) Kim HJ, Lee TY, Kim JB, et al. The impact of sequential versus single anastomoses on flow characteristics and mid-term patency of saphenous vein grafts in coronary bypass grafting. J Thorac Cardiovasc Surg 2011; 141: 750-4. – reference: 3) Dashwood MR, Loesch A. The saphenous vein as a bypass conduit: the potential role of vascular nerves in graft performance. Curr Vasc Pharmacol 2009; 7: 47-57. – reference: 2) Blachutzik F, Achenbach S, Troebs M, et al. Angiographic findings and revascularization success in patients with acute myocardial infarction and previous coronary bypass grafting. Am J Cardiol 2016; 118: 473-6. – reference: 13) Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ‘no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg 2010; 38: 414-9. – reference: 17) Dreifaldt M, Souza D, Bodin L, et al. The vasa vasorum and associated endothelial nitric oxide synthase is more important for saphenous vein than arterial bypass grafts. 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| Snippet | Purpose: To investigate the hemodynamics characteristics of the “no-touch” saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in... To investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo... |
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| SubjectTerms | nicardipine no-touch technique off-pump coronary artery bypass Original saphenous vein |
| Title | Stable Hemodynamics within “No-Touch” Saphenous Vein Graft |
| URI | https://www.jstage.jst.go.jp/article/atcs/26/2/26_oa.19-00156/_article/-char/en https://www.ncbi.nlm.nih.gov/pubmed/31611499 https://www.proquest.com/docview/2305796800 https://pubmed.ncbi.nlm.nih.gov/PMC7184034 |
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