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Updated: Dec 5, 2025

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Saphenous vein: advances.

Ki-Bong Kim1, Ho Young Hwang1, Domingos Savio Ramos de Souza2

  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, South Korea.

Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
PubMed
Summary

Saphenous vein (SV) grafts show lower patency in coronary artery bypass graft surgery (CABG) compared to internal thoracic artery (ITA) grafts. This review discusses techniques to improve SV graft outcomes.

Keywords:
Composite graftCoronary artery bypass graft surgerySaphenous vein

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Grafting

Background:

  • Saphenous vein (SV) is a common graft conduit in coronary artery bypass graft surgery (CABG).
  • SV grafts exhibit lower long-term patency and poorer clinical outcomes compared to internal thoracic artery (ITA) grafts.
  • These limitations stem from inherent structural and functional differences between SV and arterial conduits.

Purpose of the Study:

  • To review recent advancements aimed at improving the performance of SV grafts in CABG.
  • To discuss strategies that mitigate the limitations of SV conduits.

Main Methods:

  • Discussion of novel harvesting techniques, specifically the no-touch technique.
  • Exploration of surgical strategies involving composite grafts utilizing SV.
  • Review of external stenting as a method to enhance SV graft patency.

Main Results:

  • Recent improvements in harvesting and surgical techniques show promise for enhancing SV graft longevity.
  • External stenting is being investigated as a method to improve SV graft function.
  • These advancements aim to bridge the performance gap between SV and arterial grafts.

Conclusions:

  • Ongoing research and technique refinement are crucial for optimizing SV graft utilization in CABG.
  • Novel approaches like the no-touch technique and external stenting may improve long-term outcomes.
  • Further investigation is needed to fully establish the benefits of these SV graft enhancement strategies.