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The influence of harvesting technique on endothelial preservation in saphenous veins

1992; Elsevier BV; Volume: 52; Issue: 3 Linguagem: Inglês

10.1016/0022-4804(92)90077-d

1095-8673

David J. Dries, Sameer Mohammad, Stephen Woodward, Russell M. Nelson, Peter Johnston,

Cardiac Valve Diseases and Treatments

Abstract To study optimal conditions of preparation of saphenous veins as coronary artery bypass grafts, segments of saphenous veins were obtained from 29 consecutive patients undergoing coronary artery bypass grafting. The saphenous vein segments were divided into three groups. In Group I, 10 saphenous vein segments were harvested using a "no-touch" technique without any other preparation aids. In Group II, 10 saphenous vein segments were removed while distended at 70–120 mm Hg with a balanced pH electrolyte solution at 37°C. In Group III, consisting of 10 saphenous vein segments, nitroglycerine (1 μg/ml) was added to the distending solution used in Group II. Samples of saphenous vein were assessed in a blind study using light and scanning electron microscopy to estimate endothelial cell preservation by the three harvest techniques. Saphenous veins receiving only a no-touch dissection technique without distention solution (Group I) revealed significantly better endothelial preservation ( P < 0.005). The administration of distention solution alone, or with nitroglycerine, to saphenous veins in in situ using our operative technique during harvest does not appear to protect endothelial-integrity and may be harmful.