Saphenous vein harvesting: Meta‐analysis, metaflammation, and adipose tissue remodeling

Furuhashi, Masato; Mikami, Takuma; Kawaharada, Nobuyoshi; Dashwood, Michael R.

doi:10.1111/jocs.15991

Cited by 3 publications

(2 citation statements)

References 7 publications

(10 reference statements)

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“…10 As the second choice after the ITA, attention has recently been paid to the no-touch SV graft as well as the radial artery. 11, 12 The use of the novel "no-touch" technique of harvesting the SV together with its surrounding tissue has been reported to result in good long-term patency of SV grafts. 12-14 The long-term patency of no-touch SV grafts at 16 years was comparable to that of ITA grafts.…”

Section: Quantitative Real-time Pcrmentioning

confidence: 99%

Comparison of Phenotypes in Subcutaneous Fat and Perivascular Adipose Tissue Surrounding the Saphenous Vein in Coronary Artery Bypass Grafting

Mikami

Furuhashi

Numaguchi

et al. 2023

Circ J

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the use of the SV for CABG in 1969, 2 the SV graft remains the most commonly used conduit for CABG because it is located in a superficial position that makes it easily accessible. 3 Furthermore, the SV can be used for multiple grafts because of its length. However, the long-term patency of the SV harvested using the conventional technique is a crucial issue. 4 It has been reported that the long-term patency of conventional SV grafts is 50-61% over 10 years. 5-7Perivascular adipose tissue (PVAT) has been reported to be associated with the regulation of vascular tone and T he internal thoracic artery (ITA), saphenous vein (SV), radial artery, and right gastroepiploic artery are widely used as conduits in coronary artery bypass grafting (CABG). 1 The ITA, a vessel resistant to atherosclerosis, is most commonly used as the gold standard graft material for CABG because of its excellent longterm patency. 1 With the spread of percutaneous coronary intervention, the indication for CABG in recent years has been limited to severe coronary artery disease with multivessel disease. Therefore, vessels other than the ITA for grafts are frequently required. After the first report on

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Section: Quantitative Real-time Pcrmentioning

confidence: 99%

Comparison of Phenotypes in Subcutaneous Fat and Perivascular Adipose Tissue Surrounding the Saphenous Vein in Coronary Artery Bypass Grafting

Mikami

Furuhashi

Numaguchi

et al. 2023

Circ J

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“…In their recent letter to the editor, Furuhashi et al discuss the role of perivascular adipose tissue (PVAT) in the progression of or protection from atherosclerotic disease in coronary bypass conduits. [1][2][3][4] They make the valid point that when comparing patency rates between arterial and venous grafts, one is in part comparing the effects of PVAT preservation (arterial grafts) versus removal (venous grafts).…”

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confidence: 99%

Reply to saphenous vein harvesting: Meta‐analysis, metaflammation, and adipose tissue remodeling

Worku

Gaudino

2021

Journal of Cardiac Surgery

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An Obligatory Role of Perivascular Adipose Tissue in Improved Saphenous Vein Graft Patency in Coronary Artery Bypass Grafting

Mikami,

Dashwood,

Kawaharada

et al. 2024

Circ J

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The gold standard graft for coronary artery bypass grafting (CABG) is the internal thoracic artery (ITA), and the second recommendation is the radial artery. However, complete revascularization with arterial grafts alone is often difficult, and the saphenous vein (SV) is the most commonly used autologous graft for CABG, because it is easier to use without restriction for the length of the graft. On the other hand, the patency of SV grafts (SVGs) is poor compared with that of arterial grafts. The SVG is conventionally harvested as a distended conduit with surrounding tissue removed, a procedure that may cause vascular damage. A no-touch technique of SVG harvesting has been reported to result in improved long-term patency in CABG comparable to that when using the ITA for grafting. Possible reasons for the excellent long-term patency of no-touch SVGs are the physical support provided by preserved surrounding perivascular adipose tissue, preservation of the vascular wall structure including the vasa vasorum, and production of adipocyte-derived factors. In this review, we discuss recent strategies aimed at improving the performance of SVGs, including notouch harvesting, minimally invasive harvesting and mechanical support using external stents.

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Saphenous vein harvesting: Meta‐analysis, metaflammation, and adipose tissue remodeling

Cited by 3 publications

References 7 publications

Comparison of Phenotypes in Subcutaneous Fat and Perivascular Adipose Tissue Surrounding the Saphenous Vein in Coronary Artery Bypass Grafting

Comparison of Phenotypes in Subcutaneous Fat and Perivascular Adipose Tissue Surrounding the Saphenous Vein in Coronary Artery Bypass Grafting

Reply to saphenous vein harvesting: Meta‐analysis, metaflammation, and adipose tissue remodeling

An Obligatory Role of Perivascular Adipose Tissue in Improved Saphenous Vein Graft Patency in Coronary Artery Bypass Grafting

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