Multiple Skin Bridging for No-Touch Saphenous-Vein Grafts Harvesting Can Reduce Wound Morbidity

Multiple Skin Bridging for No-Touch SV Harvest


  • Kang Zhou, MD Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China
  • Xiaoke Qi, MD Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China
  • Shijie Wei, MD Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China
  • Xinmin Zhou, MD, PhD Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China
  • Yuan Zhao, MD, PhD 2nd xiangya hospital



Minimally Invasive, Saphenous Vein, Skin Bridging, Wound Morbidity


Background: Reducing the leg wound morbidity is crucial for the patients undergoing coronary artery bypass grafting (CABG) with great saphenous vein (SV) grafts harvested by no-touch (NT) technique. This study was to summarize the experience of skin bridging technique for reducing wound morbidity and the influence of it on one-year bypass graft patency.

Methods: According to skin bridging or not, harvesting times, graft length, number of bleeding branches, postoperative subjective perception assessment scale (ASEPSIS) scores and one-year patency rate were analyzed.

Results: From June 2018 to February 2019, 60 patients underwent CABG with SV grafts either with open-incision NT or skin bridging NT (30 in each group). There were no significant differences in age (71.4 ± 5.1 years vs. 68.9 ± 5.5 years) or graft length (23.3 ± 1.1 cm vs. 23.9 ± 1.3 cm) between the two groups. The bridging/NT group had a significantly longer harvest time (38.5 ± 4.9 min vs. 18.5 ± 2.6 min; P < 0.001) and a significantly greater number of bleeding branches (1.9 ± 1.2 vs. 0.8 ± 0.8; P < 0.001) than the open NT group. The open NT group had a significantly higher ASEPSIS score (23.8 ± 2.0 vs. 15.7 ± 2.6; P < 0.001). There was no significant difference in patency rate at one-year follow-up.

Conclusion: Obtaining the SV by the combined NT/discontinuous skin bridging technique is a satisfactory method for patients who underwent CABG. This method has important clinical significance in reducing wound morbidity in the harvest of NT grafts.


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How to Cite

Zhou, K., Qi, X., Wei, S., Zhou, X., & Zhao, Y. (2021). Multiple Skin Bridging for No-Touch Saphenous-Vein Grafts Harvesting Can Reduce Wound Morbidity: Multiple Skin Bridging for No-Touch SV Harvest. The Heart Surgery Forum, 24(3), E496-E501.