Journal of Cardiovascular Translational Research

, Volume 11, Issue 6, pp 483–494 | Cite as

Does No-Touch Technique Better than Conventional or Intermediate Saphenous Vein Harvest Techniques for Coronary Artery Bypass Graft Surgery: a Systematic Review and Meta-analysis

  • Abdelrahman Elshafay
  • Ahmed Hesham Bendary
  • Huan Thanh Vuong
  • Ahmed Reda Ahmed
  • Mohamed Ashraf Mokhtar
  • Ali Lotfy Soliman
  • Nguyen Lam Vuong
  • Israa Atia El bestawi
  • Nirmeen Atef Abdallah
  • Vi Tuong Vu
  • Kenji Hirayama
  • Nguyen Tien HuyEmail author
Original Article


Saphenous vein (SV) is a common graft being used in coronary artery bypass grafting (CABG). Conventional (CON), intermediate (I), and no-touch (NT) are the most common harvesting techniques of SV for CABG. The aim of this study is to systematically review the NT versus CON and I techniques in harvesting SV for CABG. Twelve databases were searched for randomized controlled trials comparing the CON, I, and NT techniques in harvesting SV for CABG. Twelve reports of six RCTs were included. Our meta-analysis showed that with NT technique, patency rate was significantly higher when compared to I technique up to 18-month follow-up duration. In contrast, this significant difference was not maintained in terms of minor complications of leg wounds with both techniques. The NT has significantly higher patency rate compared to I vein harvesting technique. However, more RCTs are warranted to confirm these results.


Conventional Intermediate No-touch Saphenous vein CABG Patency rate 


Author Contributions

Study concept and design: N.T.H., A.E., N.L.V.; researched data and drafting the manuscript: A.E., A.H.B., H.T.V., A.R.A., M.A.M., A.L.S., N.L.V., I.A.E., N.A.A., V.T.V.; and critical revision of manuscript for important intellectual content: A.E., A.H.B., N.L.V., N.T.H., K.H.


This study was not funded by any means.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

No human studies were carried out by the authors for this article.

Supplementary material

12265_2018_9832_MOESM1_ESM.docx (18 kb)
Supplementary Table 1 (DOCX 17 kb)
12265_2018_9832_MOESM2_ESM.docx (22 kb)
Supplementary Table 2 (DOCX 21 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Abdelrahman Elshafay
    • 1
  • Ahmed Hesham Bendary
    • 1
  • Huan Thanh Vuong
    • 2
  • Ahmed Reda Ahmed
    • 3
  • Mohamed Ashraf Mokhtar
    • 4
  • Ali Lotfy Soliman
    • 1
  • Nguyen Lam Vuong
    • 5
    • 6
  • Israa Atia El bestawi
    • 1
  • Nirmeen Atef Abdallah
    • 7
  • Vi Tuong Vu
    • 8
  • Kenji Hirayama
    • 9
  • Nguyen Tien Huy
    • 10
    • 11
    Email author
  1. 1.Faculty of MedicineAl-Azhar UniversityCairoEgypt
  2. 2.Faculty of MedicinePham Ngoc Thach University of MedicineHo Chi Minh CityVietnam
  3. 3.Faculty of PharmacyTanta UniversityGharbiaEgypt
  4. 4.Faculty of MedicineSohag UniversitySohagEgypt
  5. 5.Department of Cardiovascular and Thoracic Surgery, Faculty of MedicineUniversity of Medicine and Pharmacy at Ho Chi Minh CityHo Chi Minh CityVietnam
  6. 6.Department of Medical statistic and Informatics, Faculty of Public HealthUniversity of Medicine and Pharmacy at Ho Chi Minh CityHo Chi Minh CityVietnam
  7. 7.Faculty of MedicineAswan UniversityAswanEgypt
  8. 8.Faculty of Public HealthUniversity of Medicine and Pharmacy at Ho Chi Minh CityHo Chi Minh CityVietnam
  9. 9.Department of Immunogenetics, Institute of Tropical Medicine (NEKKEN), Graduate School of Biomedical SciencesNagasaki UniversityNagasakiJapan
  10. 10.Evidence Based Medicine Research Group & Faculty of Applied SciencesTon Duc Thang UniversityHo Chi Minh CityVietnam
  11. 11.Department of Clinical Product Development, Institute of Tropical Medicine (NEKKEN), School of Tropical Medicine and Global HealthNagasaki UniversityNagasakiJapan

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