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The Saphenous Vein Graft: Can a Frog Become a Princess?

Year: 2024

Type: article

Abstract: The saphenous vein graft (SVG) has been a cornerstone of coronary bypass surgery, but its long-term patency is limited by accelerated atherosclerosis. Recent advancements, including the no-touch technique and the use of SVG as a limb of the left internal thoracic artery (LITA), have shown promise in improving outcomes. Both approaches enhance nitric oxide (NO) availability, a key factor in promoting endothelial stability and arterial-like behavior in the SVG. Among these, the LITA-SVG connection may offer superior long-term benefits due to sustained NO supplementation. This paper argues that the SVG, with proper strategies, can indeed achieve outcomes comparable to arterial grafts.

Source: Medicina

DOI: 10.3390/medicina60121915

Authors: Antonio Maria Calafiore, Sotirios Prapas, Ignazio Condello, Konstantinos Katsavrias, Giuseppe Nasso, Mario Gaudino

Institutions: Henry Dunant Hospital, Weill Cornell Medicine

Language: English

Topic: Cardiac and Coronary Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,046