[No-touch vein: modern prospects for use as a conduit for coronary artery bypass grafting]

The article provides a review of the no-touch technique for harvesting the great saphenous vein in coronary artery bypass grafting. The morphological advantages of the no-touch method are discussed, including preservation of the endothelium, adventitia, and perivascular tissue, thus contributing to improved long-term graft patency. The findings of clinical trials are presented demonstrating that no-touch - great saphenous vein yields outcomes comparable to those of arterial conduits and superior patency compared to the conventional technique. Various configurations of composite grafts (I-, Y-, and T-grafts) and their role in revascularization of the right coronary artery are also analyzed.