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Storage solutions to improve grafts preservation and longevity in coronary artery bypass grafting surgery: hype or hope? Curr Opin Cardiol 2021; 36:616-622. [PMID: 34397467 DOI: 10.1097/hco.0000000000000875] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE OF REVIEW Saphenous vein grafts (SVGs) remain the most-commonly used conduits for coronary artery bypass grafting (CABG).Significant rates of vein graft failure (VGF) remain a limitation of their use as this diminishes the long-term benefits of CABG. The choice of intraoperative SVGs preservation solution is believed to have an impact on graft patency; however, the superiority of one solution over the others remains in question. RECENT FINDINGS In the present review, we describe the pathophysiological mechanisms underlying the different phases of VGF. We also reviewed the most recent literature comparing and evaluating the efficacy of various storage solutions. These include heparinized saline, autologous heparinized blood, buffered solutions, and crystalloid cardioplegia. SUMMARY It is clear that the composition of the SVGs storage solution has an impact on vessel wall structure and function. There is a lack of translational and clinical research on the topic; thus, conclusions cannot be drawn regarding the superiority of one solution over the others in terms of VGF. Future research needs to be conducted to address this gap in the literature in order to make meaningful evidence-based recommendations on intraoperative graft storage.
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Fouquet O, Blossier JD, Dang Van S, Robert P, Barbelivien A, Pinaud F, Binuani P, Eid M, Henrion D, Loufrani L, Baufreton C. Author's reply (in reference to letter to editor proposed by Etem Caliskan, Catherine J. Pachuk, Louis P. Perrault, Maximilian Y Emmert and entitled: preservation solutions to improve graft patency: The devil is in the detail). J Cardiothorac Surg 2021; 16:14. [PMID: 33478510 PMCID: PMC7819152 DOI: 10.1186/s13019-021-01391-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 01/13/2021] [Indexed: 11/25/2022] Open
Abstract
Not applicable.
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Affiliation(s)
- Olivier Fouquet
- Department of Cardiac Surgery, CHU, Angers, France. .,Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France.
| | - Jean-David Blossier
- Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France.,Department of Cardiac Surgery, CHU Dupuytren, Limoges, France
| | - Simon Dang Van
- Department of Cardiac Surgery, CHU, Angers, France.,Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France
| | - Pauline Robert
- Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France
| | | | - Frédéric Pinaud
- Department of Cardiac Surgery, CHU, Angers, France.,Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France
| | | | - Maroua Eid
- Department of Cardiac Surgery, CHU, Angers, France
| | - Daniel Henrion
- Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France.,University Hospital of Angers, Angers, France
| | - Laurent Loufrani
- Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France.,University Hospital of Angers, Angers, France
| | - Christophe Baufreton
- Department of Cardiac Surgery, CHU, Angers, France.,Institute MITOVASC CNRS UMR 6015, INSERM, 1083, Angers, France
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Caliskan E, Pachuk CJ, Perrault LP, Emmert MY. Preservation solutions to improve graft patency: The devil is in the detail. J Cardiothorac Surg 2020; 15:228. [PMID: 32854755 PMCID: PMC7457275 DOI: 10.1186/s13019-020-01267-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 08/19/2020] [Indexed: 12/02/2022] Open
Affiliation(s)
- Etem Caliskan
- Department of Cardiovascular Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.,Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, German Heart Institute Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
| | | | - Louis P Perrault
- Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montreal, Canada
| | - Maximilian Y Emmert
- Department of Cardiovascular Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany. .,Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, German Heart Institute Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
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