Does No-Touch Technique Better than Conventional or Intermediate Saphenous Vein Harvest Techniques for Coronary Artery Bypass Graft Surgery: a Systematic Review and Meta-analysis |
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| Authors: | Abdelrahman Elshafay Ahmed Hesham Bendary Huan Thanh Vuong Ahmed Reda Ahmed Mohamed Ashraf Mokhtar Ali Lotfy Soliman Nguyen Lam Vuong Israa Atia El bestawi Nirmeen Atef Abdallah Vi Tuong Vu Kenji Hirayama Nguyen Tien Huy |
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| Affiliation: | 1.Faculty of Medicine,Al-Azhar University,Cairo,Egypt;2.Faculty of Medicine,Pham Ngoc Thach University of Medicine,Ho Chi Minh City,Vietnam;3.Faculty of Pharmacy,Tanta University,Gharbia,Egypt;4.Faculty of Medicine,Sohag University,Sohag,Egypt;5.Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine,University of Medicine and Pharmacy at Ho Chi Minh City,Ho Chi Minh City,Vietnam;6.Department of Medical statistic and Informatics, Faculty of Public Health,University of Medicine and Pharmacy at Ho Chi Minh City,Ho Chi Minh City,Vietnam;7.Faculty of Medicine,Aswan University,Aswan,Egypt;8.Faculty of Public Health,University of Medicine and Pharmacy at Ho Chi Minh City,Ho Chi Minh City,Vietnam;9.Department of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Graduate School of Biomedical Sciences,Nagasaki University,Nagasaki,Japan;10.Evidence Based Medicine Research Group & Faculty of Applied Sciences,Ton Duc Thang University,Ho Chi Minh City,Vietnam;11.Department of Clinical Product Development, Institute of Tropical Medicine (NEKKEN), School of Tropical Medicine and Global Health,Nagasaki University,Nagasaki,Japan |
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| Abstract: | Saphenous vein (SV) is a common graft being used in coronary artery bypass grafting (CABG). Conventional (CON), intermediate (I), and no-touch (NT) are the most common harvesting techniques of SV for CABG. The aim of this study is to systematically review the NT versus CON and I techniques in harvesting SV for CABG. Twelve databases were searched for randomized controlled trials comparing the CON, I, and NT techniques in harvesting SV for CABG. Twelve reports of six RCTs were included. Our meta-analysis showed that with NT technique, patency rate was significantly higher when compared to I technique up to 18-month follow-up duration. In contrast, this significant difference was not maintained in terms of minor complications of leg wounds with both techniques. The NT has significantly higher patency rate compared to I vein harvesting technique. However, more RCTs are warranted to confirm these results. |
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