冠心病是我国心血管疾病中发病率较高、死亡率较高的疾病。由于冠状动脉粥样硬化性疾病，每年都有超过 100 万人死亡[1]。冠心病是在冠状动脉粥样硬化的基础上造成冠状动脉管腔的狭窄或阻塞，导致冠状动脉供血不足，进而出现心肌缺血或心机梗死的一种心脏病[2]。冠状动脉旁路移植术（coronary artery bypass grafting，CABG）是冠心病，特别是复杂缺血性冠状动脉病变的有效治疗方法，而桥血管的通畅是其长期有效的必要条件[3-4]。临床上常用的桥血管是大隐静脉，但是临床研究表明，CABG 10 年后，大隐静脉的通畅率只有 50% 左右，甚至 CABG 手术后 1 个月内大隐静脉桥血管就有约 15% 出现闭塞[5-8]。因此如何保持 CABG 术后静脉桥血管通畅一直是冠心病治疗的难点[9-10]。有研究表明，大隐静脉的取材方式所造成的静脉内皮损伤是 CABG 术后静脉桥血管狭窄并闭塞的重要原因[11]。为了解决此问题，Souza 等提出了一种不接触技术（no-touch technique）来进行大隐静脉取材，此种方法不接触大隐静脉本身，不用高压注射静脉检查出血点，因此此种方法对静脉桥血管的内膜损伤较小[12-14]。由于此种取材方式较为新颖，各临床中心的随机对照研究的样本量较少，因此其术后死亡率、远期桥血管通畅率等指标较之传统方法是否有明显提高仍无定论[15]。为了探究不接触技术与传统技术在桥血管通畅度等方面的差异，我们采用系统评价的方法，全面收集目前有关不接触技术大隐静脉取材方法的临床研究并进行分析。
1 资料与方法
1.1 纳入标准
1.1.1 研究类型
研究类型为随机对照试验。
1.1.2 研究对象
所有纳入患者均为经冠状动脉造影确定为冠心病，必须行 CABG ，年龄、性别不限。
1.1.3 干预措施
不接触技术组采用不接触技术进行大隐静脉取材，传统技术组采用传统技术进行大隐静脉取材。要求对手术方式等详细描述。
1.1.4 结局指标
术后死亡人数（手术 1 个月内）、短期（12～18 个月左右）冠状动脉造影或冠状动脉 CT 检查结果、短期（12～18 个月左右）心源性死亡人数、长期（6～8 年左右）冠状动脉造影或冠状动脉 CT 检查结果、长期（6～8 年左右）心源性死亡人数、术后腿部切口愈合情况等。
1.2 排除标准
随访时间不够或失访率过高，文献资料数据不完善的文献。
1.3 文献检索与质量评价
检索自 1997 年 1 月至 2017 年 11 月发表在 PubMed、Cochrane Library、中国期刊全文数据库、万方数据库等有关不接触技术和传统技术的相关文献。英文检索词为touch、veins、harvesting、patency AND 、coronary artery bypass、coronary、artery、bypass 等 。中文检索词为无接触技术 、冠状动脉旁路移植术术 、大隐静脉 、冠心病等。
提取资料的内容为文献题目、作者、来源及各个研究中患者的一般资料，结局情况等。由两名研究员进行质量评价，存在分歧时由第三名研究员参与解决。纳入的文献材料均采用 Jadad 量表进行文献质量评估[16]。
1.4 统计学分析
采用 RevMan 5.0 软件进行 Meta 分析。对纳入研究的文献进行异质性分析，采用 Q 统计量检验法，若存在异质性，进一步计算 I2 指数，若 I2<50% 可认为多个同类研究具有同质性，选用固定效应模型进行 Meta 分析；如果I2≥50%，但临床上判断各组间具有一致性需要合并时，选择随机效应模型。通过合并各研究的效应量进行统计推断，若 P<0.05 则合并的RR 值有统计学意义，并给出总 RR 值的 95%CI。
2 结果
2.1 原始文献资料及质量评估
初筛出 1 036 篇相关文献，通过阅读标题、摘要、全文后，共有 6 篇文献符合纳入标准，文献检索流程见图 1，文献质量评估表见表 1，患者基本资料、主要结局指标见表 2、表 3。
表1
随机对照研究的 Jadad 质量评分
下载CSV
表1
随机对照研究的 Jadad 质量评分
表2
纳入文献中患者的一般资料（例/
）
下载CSV
表2
纳入文献中患者的一般资料（例/
）
）
| 文献来源 | 组别 | 患者/桥血管 | 年龄（岁） | 性别（女/男） | 高血压 | 抽烟 | 高血脂 |
| Samano 2015[14] | 不接触技术组 | 45/124 | 57.3±5.0 | 8/37 | 32 | 9 | 30 |
| 传统技术组 | 46/127 | 58.4±4.0 | 7/39 | 32 | 10 | 29 | |
| Rueda 2008[17] | 不接触技术组 | 45/109 | 58.3±4.8 | 7/38 | 32 | 9 | 29 |
| 传统技术组 | 46/107 | 58.4±4.6 | 6/40 | 32 | 9 | 29 | |
| Souza 2002[18] | 不接触技术组 | 45/109 | 58.6±5.0 | 7/38 | 28 | 9 | 29 |
| 传统技术组 | 46/107 | 58.6±4.6 | 6/40 | 27 | 9 | 29 | |
| Johansson 2010[19] | 不接触技术组 | 45/118 | 57.4±5.2 | 8/37 | 26 | 8 | 29 |
| 传统技术组 | 46/112 | 58.3±4.8 | 7/39 | 27 | 9 | 28 | |
| Kim 2017[20] | 不接触技术组 | 103/235 | 67.4±7.8 | 25/78 | 66 | 26 | 46 |
| 传统技术组 | 265/557 | 66.7±7.9 | 59/206 | 189 | 94 | 89 | |
| Verma 2014[21] | 不接触技术组 | 9/– | 65.3±6.3 | 1/8 | 8 | 7 | 6 |
| 传统技术组 | 9/– | 65.4±5.4 | 0/9 | 8 | 7 | 7 |
表3
纳入文献中患者的结局指标（例）
下载CSV
表3
纳入文献中患者的结局指标（例）
| 文献来源 | 组别 | 术后死亡 | 腿部愈合
不良 |
短期随访
（通畅血管/总血管） |
短期心源性死亡
（心源性死亡/总人数） |
长期随访
（通畅血管/总血管） |
长期心源性死亡
（心源性死亡/总人数） |
| Samano 2015[14] | 不接触技术组 | – | – | 118/124 | 1/42 | 92/101 | 1/41 |
| 传统技术组 | – | – | 112/127 | 1/43 | 78/101 | 3/42 | |
| Rueda 2008[17] | 不接触技术组 | 1/45 | 5/45 | 103/109 | 0/45 | – | 1/45 |
| 传统技术组 | 0/46 | 5/46 | 95/107 | 1/46 | – | 4/45 | |
| Souza 2002[18] | 不接触技术组 | 0/45 | 11/45 | 103/109 | 0/45 | – | 2/45 |
| 传统技术组 | 2/46 | 2/46 | 95/107 | 2/46 | – | 4/44 | |
| Johansson 2010[19] | 不接触技术组 | – | – | 105/118 | 1/43 | 18/27 | 3/42 |
| 传统技术组 | – | – | 84/112 | 3/42 | 10/26 | 5/39 | |
| Kim 2017[20] | 不接触技术组 | – | – | 225/235 | 1/83 | – | 2/82 |
| 传统技术组 | – | – | 509/577 | 4/85 | – | 7/81 | |
| Verma 2014[21] | 不接触技术组 | 0/9 | 0/9 | – | – | – | – |
| 传统技术组 | 0/9 | 2/9 | – | – | – | – |
2.2 纳入文献的临床研究的Meta分析
2.2.1 术后死亡人数（1 个月内）
纳入术后死亡人数的文献共 3 篇，均为随机对照研究，异质性检验结果显示无明显异质性（I2<50%），采用固定效应模型分析。Meta 分析结果显示：（1）无接触技术组术后死亡 1 例，传统技术组术后死亡 2 例，两组术后死亡人数差异无统计学意义［RR=0.68，95%CI（0.11，4.11），P=0.67，图 2］。
2.2.2 腿部愈合不良
纳入腿部愈合不良的文献共 3 篇，均为随机对照研究，异质性检验结果显示研究间存在异质性（I2=66%），遂采用随机效应模型分析。Meta 分析结果显示，两组术后腿部愈合不良差异无统计学意义［RR=1.46，95%CI（0.23，9.16），P=0.68，图 3］。
2.2.3 术后短期随访的通畅率（12～18 个月）
纳入术后短期通畅率的文献 5 篇，均为随机对照研究，异质性检验结果显示无明显异质性（I2<50%），采用固定效应模型分析。Meta 分析结果显示：不接触技术组短期（12～18 个月）随访通畅率较传统技术组更高，且差异有统计学意义［MD=2.64，95%CI（1.81，3.85），P<0.01，图 4］。
2.2.4 术后长期随访的通畅率（6～8 年）
纳入术后长期通畅率的文献 2 篇，均为随机对照研究，异质性检验结果显示无明显异质性（I2<50%），采用固定效应模型进行分析。Meta 分析结果显示：不接触技术组长期（6～8 年）随访通畅率较传统技术组更高，且差异具有统计学意义［MD=3.08，95%CI（1.58，5.99），P<0.01，图 5］。
2.2.5 短期心源性死亡人数（12～18 个月左右）
纳入短期心源性死亡数据的文献共 5 篇，均为随机对照研究，异质性检验结果显示无明显异质性（I2<50%），采用固定效应模型分析。Meta 分析结果显示：两组短期心源性死亡的差异无统计学意义［RR=0.33，95%CI（0.10，1.03），P=0.06，图 6］。
2.2.6 长期心源性死亡人数（6～8 年左右）
纳入长期心源性死亡数据的文献共 5 篇，均为随机对照研究，异质性检验结果显示无明显异质性（I2<50%），采用固定效应模型分析。Meta 分析结果显示：不接触技术组长期（6～8 年）心源性死亡人数较传统技术组更低，且差异具有统计学意义［RR=0.36，95%CI（0.16，0.79），P<0.05，图 7］。
3 讨论
CABG 术后静脉桥的堵塞主要是由急性血栓形成、内膜增生和动脉粥样硬化三个原因造成的。其中急性血栓形成是移植失败的主要原因，此种情况多发生于术后 1 个月内，由于手术等技术原因造成的，例如冠状动脉血管的尺寸和静脉桥之间不匹配导致湍流等，机械性创伤和暴力扩张也是造成静脉桥血管缺血的原因[22-24]。术后 1～12 个月内膜增生是造成桥静脉血管狭窄的主要原因，由于血流动力学的不稳定，会形成湍流，这种状态会使血管平滑肌细胞增生，导致静脉桥血管狭窄[25-26]。1 年后患者的桥血管狭窄多是由于粥样硬化造成，粥样硬化斑块的破裂也可能导致闭塞[23]。对于静脉桥血管而言，其中的粥样硬化斑块常常发育不良没有纤维帽，因而更容易出现破裂堵塞[27]。在 20 世纪 60 年代开始进行 CABG 手术之后，静脉血管的内皮损伤就一直处于研究的热点中。常规技术操作方法是去除血管周围的结缔组织，并且剥离血管的外膜，这种制备静脉的方法常常导致血管发生痉挛，从而刺激内皮细胞增殖[28]。
不接触技术不剥离大隐静脉血管的外膜，理论上可以防止内皮损伤和内膜增生。根据 Souza 等[29]的研究，不接触技术不仅比传统技术有更好的通畅率，甚至其通畅率与左乳内动脉相似。Rueda 等[17]发现在大隐静脉曲张或者质量较差的静脉取材中，不接触技术的通畅率依然高于传统技术组。同样，Johansson 等[19]比较了不接触技术和传统技术桥血管的通畅率，其着重点在短期（12～18 个月内）和长期（6～8 年内）动脉粥样硬化的改变，发现随着时间的推移，不接触技术的桥血管通畅率及血流量仍然高于传统技术组，斑块厚度也明显较少。Verma 等[21]的研究发现，18 例接受不接触技术的 CABG 患者并未发生心肌梗死或死亡。Rueda 等[15]比较不接触技术组和传统技术组的差异，发现仅有不接触技术组 1 例患者因为乳内动脉出血再次接受开胸手术。但是此种技术的临床随机对照研究样本量仍较少，此种新术式的短期及长期的桥血管通畅率是否优于传统技术仍值得商榷。
通过我们本次的 Meta 分析发现，与传统技术相比，不接触技术并不会增加围手术期及术后死亡率。在短期心源性死亡人数方面，不接触技术组和传统技术组并没有显著差异，而在长期心源性死亡人数方面，不接触技术组的死亡人数显著低于传统技术组，差异有统计学意义。不接触技术桥血管的短期（12～18 个月内）和长期（6～8 年内）通畅率均高于传统技术组（P<0.05）。临床观察发现，不接触技术虽然有较高的通畅率，但是由于大隐静脉周围结缔组织取材较多，腿部切口较传统取材方式难愈合[30-32]。我们本次 Meta 分析综合各文献的资料后得出结论，不接触技术组同传统技术组相比并没有出现明显的腿部切口较难愈合的问题。近期有学者探究不接触技术的内镜取材方法，此种方式减少了腿部切口的长度，降低了腿部愈合不良的风险，将会是一种更有利的技术[33]。
综上所述，不接触技术相比传统技术，其长期心源性死亡（6～8 年内）较低，同时短期（12～18 个月内）和长期（6～8 年内）通畅率均高于传统技术组。不接触技术在患者术后死亡、腿部切口愈合不良等方面同传统技术相比差异无统计学意义。
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
表1 随机对照研究的 Jadad 质量评分
| 文献来源 | 随机方法 | 盲法 | 失访或退出 | Jadad 评分 |
| Samano 2015[14] | RCT | 恰当 | 有 | 5 |
| Rueda 2008[17] | RCT | 恰当 | 有 | 5 |
| Souza 2002[18] | RCT | 恰当 | 有 | 5 |
| Johansson 2010[19] | RCT | 恰当 | 有 | 5 |
| Kim 2017[20] | RCT | 恰当 | 有 | 5 |
| Verma 2014[21] | RCT | 恰当 | 有 | 5 |
下载CSV
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
表2 纳入文献中患者的一般资料（例/
）
| 文献来源 | 组别 | 患者/桥血管 | 年龄（岁） | 性别（女/男） | 高血压 | 抽烟 | 高血脂 |
| Samano 2015[14] | 不接触技术组 | 45/124 | 57.3±5.0 | 8/37 | 32 | 9 | 30 |
| 传统技术组 | 46/127 | 58.4±4.0 | 7/39 | 32 | 10 | 29 | |
| Rueda 2008[17] | 不接触技术组 | 45/109 | 58.3±4.8 | 7/38 | 32 | 9 | 29 |
| 传统技术组 | 46/107 | 58.4±4.6 | 6/40 | 32 | 9 | 29 | |
| Souza 2002[18] | 不接触技术组 | 45/109 | 58.6±5.0 | 7/38 | 28 | 9 | 29 |
| 传统技术组 | 46/107 | 58.6±4.6 | 6/40 | 27 | 9 | 29 | |
| Johansson 2010[19] | 不接触技术组 | 45/118 | 57.4±5.2 | 8/37 | 26 | 8 | 29 |
| 传统技术组 | 46/112 | 58.3±4.8 | 7/39 | 27 | 9 | 28 | |
| Kim 2017[20] | 不接触技术组 | 103/235 | 67.4±7.8 | 25/78 | 66 | 26 | 46 |
| 传统技术组 | 265/557 | 66.7±7.9 | 59/206 | 189 | 94 | 89 | |
| Verma 2014[21] | 不接触技术组 | 9/– | 65.3±6.3 | 1/8 | 8 | 7 | 6 |
| 传统技术组 | 9/– | 65.4±5.4 | 0/9 | 8 | 7 | 7 |
下载CSV
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
表3 纳入文献中患者的结局指标（例）
| 文献来源 | 组别 | 术后死亡 | 腿部愈合
不良 |
短期随访
（通畅血管/总血管） |
短期心源性死亡
（心源性死亡/总人数） |
长期随访
（通畅血管/总血管） |
长期心源性死亡
（心源性死亡/总人数） |
| Samano 2015[14] | 不接触技术组 | – | – | 118/124 | 1/42 | 92/101 | 1/41 |
| 传统技术组 | – | – | 112/127 | 1/43 | 78/101 | 3/42 | |
| Rueda 2008[17] | 不接触技术组 | 1/45 | 5/45 | 103/109 | 0/45 | – | 1/45 |
| 传统技术组 | 0/46 | 5/46 | 95/107 | 1/46 | – | 4/45 | |
| Souza 2002[18] | 不接触技术组 | 0/45 | 11/45 | 103/109 | 0/45 | – | 2/45 |
| 传统技术组 | 2/46 | 2/46 | 95/107 | 2/46 | – | 4/44 | |
| Johansson 2010[19] | 不接触技术组 | – | – | 105/118 | 1/43 | 18/27 | 3/42 |
| 传统技术组 | – | – | 84/112 | 3/42 | 10/26 | 5/39 | |
| Kim 2017[20] | 不接触技术组 | – | – | 225/235 | 1/83 | – | 2/82 |
| 传统技术组 | – | – | 509/577 | 4/85 | – | 7/81 | |
| Verma 2014[21] | 不接触技术组 | 0/9 | 0/9 | – | – | – | – |
| 传统技术组 | 0/9 | 2/9 | – | – | – | – |
下载CSV
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
| 1. | Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384. |
| 2. | Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638. |
| 3. | 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224. |
| 4. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 5. | Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156. |
| 6. | Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140. |
| 7. | Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63. |
| 8. | Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385. |
| 9. | Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35. |
| 10. | Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630. |
| 11. | Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907. |
| 12. | Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433. |
| 13. | Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340. |
| 14. | Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888. |
| 15. | 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831. |
| 16. | Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12. |
| 17. | Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362. |
| 18. | Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195. |
| 19. | Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419. |
| 20. | Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497. |
| 21. | Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725. |
| 22. | Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62. |
| 23. | Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362. |
| 24. | Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348. |
| 25. | Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558. |
| 26. | Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259. |
| 27. | Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931. |
| 28. | Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944. |
| 29. | Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378. |
| 30. | Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311. |
| 31. | Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488. |
| 32. | Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443. |
| 33. | Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989. |
- 1. Farkouh ME, Domanski M, Sleeper LA, et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med, 2012, 367(25): 2375-2384.
- 2. Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet, 2013, 381(9867): 629-638.
- 3. 胡盛寿, 郑哲, 周玉燕. 常规与非体外循环冠状动脉旁路移植术治疗冠状动脉多支病变的对比分析. 中国胸心血管外科临床杂志, 2000, 6(4): 221-224.
- 4. Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385.
- 5. Goldman S, Zadina K, Moritz T, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol, 2004, 44(11): 2149-2156.
- 6. Cooper G J, Underwood M J, Deverall P B. Arterial and venous conduits for coronary artery bypass. A current review. European J Cardio-thorac Surg, 1996, 10(2): 129-140.
- 7. Mehta D, Izzat MB, Bryan AJ, et al. Towards the prevention of vein graft failure. Int J Cardiol, 1997, 62(Suppl 1): S55-S63.
- 8. Izzat MB, West RR, Bryan AJ, et al. Coronary artery bypass surgery: current practice in the United Kingdom. Br Heart J, 1994, 71(4): 382-385.
- 9. Deb S, Cohen EA, Singh SK, et al. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol, 2012, 60(1): 28-35.
- 10. Sepehripour A H, Jarral O A, Shipolini A R, et al. Does a ’no-touch’ technique result in better vein patency? Inter Cardiovasc Thorac Surg, 2011, 13(6): 626-630.
- 11. Angelini GD, Passani SL, Breckenridge IM, et al. Nature and pressure dependence of damage induced by distension of human saphenous vein coronary artery bypass grafts. Cardiovasc Res, 1987, 21(12): 902-907.
- 12. Ahmed SR, Johansson BL, Karlsson MG, et al. Human saphenous vein and coronary bypass surgery: ultrastructural aspects of conventional and " no-touch” vein graft preparations. Histol Histopathol, 2004, 19(2): 421-433.
- 13. Dashwood MR, Savage K, Tsui JC, et al. Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. J Thorac Cardiovasc Surg, 2009, 138(2): 334-340.
- 14. Samano N, Geijer H, Liden M, et al. The no-touch saphenous vein for coronary artery bypass grafting maintains a patency, after 16 years, comparable to the left internal thoracic artery: A randomized trial. J Thorac Cardiovasc Surg, 2015, 150(4): 880-888.
- 15. 张岩, 孙寒松, 胡盛寿. 不接触技术对冠状动脉旁路移植术后静脉桥通畅率影响的进展. 中国胸心血管外科临床杂志, 2016, 23(8): 827-831.
- 16. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 1996, 17(1): 1-12.
- 17. Rueda Fd, Souza D, Lima Rde C, et al. Novel no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting. Arq Bras Cardiol, 2008, 90(6): 356-362.
- 18. Souza DS, Dashwood MR, Tsui JC, et al. Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques. Ann Thorac Surg, 2002, 73(4): 1189-1195.
- 19. Johansson BL, Souza DS, Bodin L, et al. Slower progression of atherosclerosis in vein grafts harvested with ’no touch’ technique compared with conventional harvesting technique in coronary artery bypass grafting: an angiographic and intravascular ultrasound study. Eur J Cardiothorac Surg, 2010, 38(4): 414-419.
- 20. Kim YH, Oh HC, Choi JW, et al. No-touch saphenous vein harvesting may improve gurther the patency of daphenous vein composite grafts: early outcomes and 1-year angiographic results. Ann Thorac Surg, 2017, 103(5): 1489-1497.
- 21. Verma S, Lovren F, Pan Y, et al. Pedicled no-touch saphenous vein graft harvest limits vascular smooth muscle cell activation: the PATENT saphenous vein graft study. Eur J Cardiothorac Surg, 2014, 45(4): 717-725.
- 22. Parang P, Arora R. Coronary vein graft disease: pathogenesis and prevention. Can J Cardiol, 2009, 25(2): e57-e62.
- 23. Tsui JC, Souza DS, Filbey D, et al. Localization of nitric oxide synthase in saphenous vein grafts harvested with a novel " no-touch” technique: potential role of nitric oxide contribution to improved early graft patency rates. J Vasc Surg, 2002, 35(2): 356-362.
- 24. Souza DS, Arbeus M, Botelho PB, et al. The no-touch technique of harvesting the saphenous vein for coronary artery bypass grafting surgery. Multimed Man Cardiothorac Surg, 2009, 2009(731): 345-348.
- 25. Khaleel MS, Dorheim TA, Duryee MJ, et al. High-pressure distention of the saphenous vein during preparation results in increased markers of inflammation: a potential mechanism for graft failure. Ann Thorac Surg, 2012, 93(2): 552-558.
- 26. Nolte A, Secker S, Walker T, et al. Veins are no arteries: even moderate arterial pressure induces significant adhesion molecule expression of vein grafts in an ex vivo circulation model. J Cardiovasc Surg, 2011, 52(2): 251-259.
- 27. Motwani JG, Topol EJ. Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation, 1998, 97(9): 916-931.
- 28. Dashwood MR, Savage K, Dooley A, et al. Effect of vein graft harvesting on endothelial nitric oxide synthase and nitric oxide production. Ann Thorac Surg, 2005, 80(3): 939-944.
- 29. Souza DS, Johansson B, Bojö L, et al. Harvesting the saphenous vein with surrounding tissue for CABG provides long-term graft patency comparable to the left internal thoracic artery: results of a randomized longitudinal trial. J Thorac Cardiovasc Surg, 2006, 132(2): 373-378.
- 30. Mannion JD, Marelli D, Brandt T, et al. " No-touch” versus " endo” vein harvest: early patency on symptom-directed catheterization and harvest site complications. Innovations (Phila), 2014, 9(4): 306-311.
- 31. Papakonstantinou NA, Baikoussis NG, Goudevenos J, et al. Novel no touch technique of saphenous vein harvesting: Is great graft patency rate provided? Ann Card Anaesth, 2016, 19(3): 481-488.
- 32. Mountney J, Wilkinson GA. Saphenous neuralgia after coronary artery bypass grafting. Eur J Cardiothorac Surg, 1999, 16(4): 440-443.
- 33. Sastry P, Rivinius R, Harvey R, et al. The influence of endoscopic vein harvesting on outcomes after coronary bypass grafting: a meta-analysis of 267, 525 patients. Eur J Cardiothorac Surg, 2013, 44(6): 980-989.