No-Touch Aorta Off-Pump Coronary Bypass Operation: Arteriovenous Composite Grafts May Be Used as a Last Resort

LITA-vein composite graft use is associated with a lower survival and higher complication rate, probably because of the higher patient risk profile. LITA-vein composite grafts may be used as a last resort in selected patients undergoing OPCAB operations without manipulation of the aorta when arterial grafts are not available or recommended.