No-touch technique in coronary artery bypass grafting: A randomized controlled trial
10.7507/1007-4848.201712009
- VernacularTitle:不接触技术在冠状动脉旁路移植术中应用的随机对照试验
- Author:
ZHOU Xiaoyu
1
,
2
;
GUO Jiong
3
;
HUANG Chen
3
;
SHU Liliang
3
;
XU Jing
3
Author Information
1. 1. The Third Department of Cardiac Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, P.R.China
2. 2. Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, P.R.China
3. The Third Department of Cardiac Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, P.R.China
- Publication Type:Journal Article
- Keywords:
Saphenous vein;
coronary artery bypass graft surgery;
no-touch technique
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(10):875-879
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the patency of the postoperative vessel bridge grafts between the notouch technique and the conventional technique for saphenous vein harvest in the coronary artery bypass grafting. Methods A total of 70 patients underwent coronary artery bypass grafting from January 2014 to January 2015 in the First Affiliated Hospital of Zhengzhou University. They were randomly divided into a conventional technique group (saphenous vein obtained by traditional technique) and a no-touch technique group (saphenous vein obtained by notouch technique). There were 34 patients in the conventional technique group, including 16 males and 18 females with an average age of 61.6±6.4 years. There were 36 patients in the no-touch technique group, including 16 males and 20 females with an average age of 62.2±6.6 years. The 1-year postoperative coronary CT angiography (CTA) results were compared. Results Seventy patients underwent coronary CTA examination 1 year postoperatively. The patency rate of the conventional technique group and no-touch technique group were 83/116 (71.6%) and 113/122 (92.6%). Logistic regression analysis showed a statistical difference between the non-touch technique and the conventional technique (P<0.05). Conclusion The short-term patency rate of vessel bridge grafts is higher when the no-touch technique is used.