Coronary Artery Disease Clinical Trial
Official title:
The Clinical Effect of No-touch Vein Harvesting Technique in Off-pump Coronary Artery Bypass Graft
This study aims to investigate the clinical effect of the new saphenous vein harvesting technique "No-touch" in off-pump coronary artery bypass grafting(OPCABG), comparing to the conventional technique. Adopting CTA to evaluate the 3 months patency of the graft, we will compare veins harvested using No-touch technique to saphenous veins using conventional open technique.
Coronary artery disease(CAD) is a widespread health issue around the world. It is proven that
atherosclerosis is a inflammatory disease, and endothelial dysfunction is one of the key
factors that initiates the inflammatory response. Accumulating studies indicate that
endothelial homeostasis plays a primordial role in the development of atherosclerosis.
Coronary artery bypass grafting(CABG) is the standard treatment of three-vessel or left main
coronary artery disease, and its long-term benefits is apparent. Saphenous vein is the most
common graft in CABG, however, the long-term patency is only about 50% in one year, as a
result, it is urgent to discover a solution to improve the long term potency of vein grafts.
Conventional harvesting technique dissects the perivascular tissue and inject saline to check
leakage, which causes damages to the endothelium of the vein, initiating inflammatory
response. No-touch technique is a atraumatic, non-distended harvesting technique. According
to the criteria, we will randomize the patients into two groups, the conventional and
No-touch group, the vein will be used in sequential anastomosis, by comparing the 3 months
patency rate assessed by CTA, we aim to compare the clinical outcomes of the two different
vein harvesting techniques.
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