Coronary Artery Disease
Conditions
Keywords
Coronary artery bypass grafting, Saphenous vein grafts
Brief summary
Coronary artery surgery (CABG) is necessary to improve blood circulation in many patients with coronary artery disease. This is done by using alternative blood vessels (grafts) to bypass the stenosed coronary arteries. In CABG, vein grafts are traditionally used where surrounding tissue is removed, this may damage the vessel and influence its patency. The no-touch technique was developed by Professor Domingos Souza at the Department of Cardiovascular and Thoracic Surgery, Örebro University Hospital. This technique includes taking out the vein with its surrounding tissue and by this way the vessel is less damaged. The first two follow ups have shown that no-touch grafts had better patency than conventionally extracted graft at 18 months and 8.5 years. This long term follow up is a continuation of the randomized trial started in 1993 where the patency and incidence of stenoses in the no touch and conventional vein grafts has been studied.
Interventions
The vein graft is harvested with its surronding tissues.
The vein graft is stripped from its surrounding tissues.
Sponsors
Study design
Eligibility
Inclusion criteria
1. First time coronary artery bypass grafting with either conventional or no touch vein grafts performed by Dr.Souza between 1993-1997. 2. Included in the previous follow up studies 3. Signed and dated consent.
Exclusion criteria
1. Allergy to contrast 2. Renal failure 3. Uncontrolled diabetes 4. Unable to implement the study according to protocol -
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patency of the grafts | Mean time of 15 years. |
Secondary
| Measure | Time frame |
|---|---|
| Stenosis in the grafts. | Mean time of 15 years. |
Countries
Sweden