Continuous Perfusion of Saphenous Vein by Oxygenated Blood during Beating Coronary Surgery

Mohammad Hossein  Mandegar; Bahieh  Moradi; Farideh  Roshanali

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Continuous Perfusion of Saphenous Vein by Oxygenated Blood during Beating Coronary Surgery

Authors:

Mohammad Hossein Mandegar¹,

Bahieh Moradi^2,*,

Farideh Roshanali²

1Department of Cardiothoracic Surgery, Day General Hospital, Tehran, Iran

2Department of Echocardiography, Day General Hospital, Tehran, Iran

International Cardiovascular Research Journal:Vol. 9, issue 3; e11241

Published online:Sep 30, 2015

Article type:Brief Report

Received:Feb 28, 2017

Accepted:Mar 16, 2015

How to Cite:Mohammad Hossein MandegarBahieh MoradiFarideh RoshanaliContinuous Perfusion of Saphenous Vein by Oxygenated Blood during Beating Coronary Surgery.9(3):e11241.

Abstract

Background: The saphenous vein remains the most commonly used conduit for coronary artery bypass surgery (CABG). However, the long-term success of surgical revascularization is largely limited by development of occlusion in vein grafts.

Objectives: We sought to reduce graft ischemia by maintaining the blood flow into the harvested vein throughout surgery at lowest costs and without special devices.

Patients and Methods: This study was conducted on three hundred patients aged 58.5 ± 8 years undergoing elective first-time off-pump CABG with saphenous veins.

Results: In addition to preserving nutritional materials and oxygen, the veins harvested via this novel technique did not go into spasm and were not subjected to high-pressure distension, eventually resulting in minimal damage to the endothelium.

Conclusions: This technique confers favorable myocardial function and protection in the presence of left ventricular dysfunction, especially in elderly patients.

Keywords

Saphenous Vein

Harvesting

Coronary Artery Bypass

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