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4 . 2025

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

Abstract

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.

Keywords: coronary artery bypass grafting; great saphenous vein; no-touch technique; autovenous conduit; I-graft

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Khvan D.S., Makaev A.G., Sirota D.A.; data collection and handling – Khvan D.S., Makaev A.G.; draft manuscript preparation – Makaev A.G.; manuscript revision – Khvan D.S., Makaev A.G., Sirota D.A., Bogachev-Prokofiev A.V.

For citation: Khvan D.S., Makaev A.G., Sirota D.A., Bogachev-Prokofiev A.V., Chernyavsky A.V. No-touch vein: modern prospects for use as a conduit for coronary artery bypass grafting. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (4): 157–65. DOI: https://doi.org/10.33029/1027-6661-2025-31-4-157-165

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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