Saphenous vein: advances

  • Ki-Bong KimEmail author
  • Ho Young Hwang
  • Domingos Savio Ramos de Souza
  • David Paul Taggart
Review Article


Although the saphenous vein (SV) is a widely used conduit for coronary artery bypass graft surgery (CABG), lower long-term graft patency rates and worse clinical outcomes have been reported after CABG performed with SV grafts compared with CABG performed with internal thoracic artery (ITA) grafts. Of various efforts to overcome the limitations of SV that are resulting from structural and functional differences from arterial conduit, recent improvement in harvesting techniques including no-touch technique, surgical strategy of using the SV as part of a composite graft over an aortocoronary bypass graft, and external stenting of the SV will be discussed in this topic.


Coronary artery bypass graft surgery Saphenous vein Composite graft 


Compliance with ethical standards

Conflict of interest

Prof. David Taggart states that he has received research funding, speaking, and traveling honoraria from Vascular Graft Solutions (VGS), and also has share options in VGS.

Ki-Bong Kim, Ho Young Hwang, and Domingos Souza state that they have no conflict of interest.

Human and animal rights and informed consent

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Ki-Bong Kim
    • 1
    Email author
  • Ho Young Hwang
    • 1
  • Domingos Savio Ramos de Souza
    • 2
  • David Paul Taggart
    • 3
  1. 1.Department of Thoracic and Cardiovascular SurgerySeoul National University HospitalSeoulSouth Korea
  2. 2.Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and HealthÖrebro UniversityÖrebroSweden
  3. 3.Department of Cardiovascular SurgeryUniversity of OxfordLondonUK

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