How To Do An Endoscopic Radial Artery Harvesting
Sotirios Marinakis, PhD, Karim Homsy, Badih El Nakadi.
CHU Charleroi, Lodelinsart, Belgium.
BACKGROUND: Minimally invasive procedures for coronary revascularization are in practice since more than 20 years. With evolving expertise minimally invasive coronary revascularization (MICS-CABG) moves from single vessel to multivessel disease necessitating harvesting of multiple arterial conduits. Radial artery is an excellent arterial conduit to be used as a 'T' or 'Y' graft to lateral and inferior wall. This video shows a step-by-step approach on how to perform an endoscopic radial artery harvesting.
METHODS: A short video, single patient, endoscopic radial artery harvesting procedure was compiled from patient installation to wound closure.
RESULTS: We started our minimal invasive coronary artery program on July 2018 and since then more than 70 procedures were performed by a single surgeon. With ongoing experience, complexity of coronary revascularization has evolved from single vessel to multivessel disease necessitating a minimal invasive technique to harvest a second arterial conduit.
CONCLUSIONS: Multivessel MICS-CABG is a technically demanding operation. For lateral and inferior wall coronary anastomoses radial artery is an excellent conduit. Endoscopic radial artery harvesting is an elegant way to obtain a second arterial conduit in MICS-CABG.
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