The short saphenous vein may serve as a viable alternative conduit for CABG in patients lacking traditional graft options, utilizing a novel bilateral simultaneous harvesting technique.
Short saphenous vein with bilateral simultaneous harvest may offer alternative CABG conduit in select patients; hypothesis-generating and requires prospective validation.
A multitude of vascular conduits are available to the Cardiac Surgeon performing Coronary Artery Bypass Graft operations. The Internal Mammary Artery, Radial Artery (RA), and the Long Saphenous Vein (LSV) have proven to be excellent conduits, especially in the current era of statin usage. However, previous stripping or varicosities of the LSV and calcification of the RA, coupled with the need for multiple vessel grafting, requires an alternative candidate. We describe a novel harvesting technique for bilateral simultaneous Short Saphenous Vein harvest and propose this, often forgotten vein, as a viable alternative conduit.
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Sarwar et al. (2012) studied this question.
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