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HOW I DO IT • Braz. J. Cardiovasc. Surg. 41 (1) • 2026 • https://doi.org/10.21470/1678-9741-2025-0001 linkcopy

Open-access Optimizing Saphenous Vein Harvesting with the No-Touch Technique Using LigaSure™ and Small Incisions: A Hybrid Approach for Coronary Artery Bypass Surgery

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    ABSTRACT

    Our technique described below offers a reproducible, cost-effective approach for no-touch saphenous vein harvesting that can be adopted by well-trained surgical teams. The hybrid no-touch technique, incorporating LigaSure™, small incisions, and pressurized closure, achieves excellent results with minimal major and local complications. Given the robust evidence supporting improved patency and outcomes, the no-touch approach should be considered a reliable and superior option for the second conduit in coronary artery bypass grafting procedures.

    Keywords:
    Optimizing; Saphenous; Veins; Harvesting; Touch.

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