Current practice of saphenous vein graft harvesting in coronary artery bypass graft surgery: an Indian survey.

Content Provider	Europe PMC
Author	Sajja, Lokeswara Rao Kamtam, Devanish Narasimhasanth Sreeramula, Sateesh Kumar Beri, Prashanthi
Abstract	Purpose The treatment of occluded saphenous vein graft (SVG) is challenging, and thus preventing the graft occlusion is of utmost importance. However, despite its recognized importance, a paucity of data exists regarding how SVGs are handled and preserved. Hence, this survey was conducted to document the techniques of vein graft preservation and handling among cardiac surgeons in India. Methods The survey had 26 questions regarding vein graft usage, harvesting, handling, and preservation techniques. Three hundred cardiac surgeons across India participated in this survey between March 2019 and July 2019. Results Responses were received from 215 (71.6%) surgeons across 13 states. Around 87% of respondents reported that ≥ 76% of veins were harvested by the open technique. Among the respondents, around 67% used one SVG in ≥ 96% of their patients, 45% used two SVGs in ≥ 86% of their patients, and 38% used ≥ 3 SVGs in < 25% of their patients, respectively. Around 54%, 27%, 9%, and 9% of respondents used autologous whole blood, saline solution, pH-buffered solution, and other solutions, respectively. In addition, 96.74% of respondents heparinized their vein graft preservation solutions, and 98.14% preserved the solution at room temperature. 34.88% and 83.26% of respondents used dual antiplatelet therapy (DAPT) before and after surgery in ≥ 76% of their patients, respectively. 63.26% of the surgeons reported that the patients received DAPT for > 12 months. Conclusion There is a significant variance in the process of vein harvesting, preservation, handling, and antiplatelet therapy protocols among various cardiac surgeons across India. Therefore, there is a need for standardization in the practice of vein harvesting.
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ISSN	09709134
Volume Number	39
DOI	10.1007/s12055-022-01441-z
PubMed Central reference number	PMC9918654
Issue Number	2
PubMed reference number	36785598
Journal	Indian Journal of Thoracic and Cardiovascular Surgery [Indian J Thorac Cardiovasc Surg]
e-ISSN	09737723
Language	English
Publisher	Springer Nature Singapore
Publisher Date	2022-12-16
Publisher Place	Singapore
Access Restriction	Open
Rights License	© Indian Association of Cardiovascular-Thoracic Surgeons 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
Subject Keyword	Coronary artery bypass grafting CABG Saphenous vein graft SVG Graft patency Vein graft preservation solution Dual antiplatelet therapy Vein graft failure
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine