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Clipless skeletonized internal mammary artery harvesting with harmonic technology.

Zivojin S Jonjev1, Aleksandar M Milosavljevic2, Novica Kalinic3

  • 1Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|May 22, 2023
PubMed
Summary

Electrocautery can damage the mammary artery during harvesting. A harmonic scalpel offers a safer alternative, reducing thermal injury and improving graft quality for coronary artery bypass grafting.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Technology

Background:

  • Electrocautery is the standard for mammary artery harvesting.
  • Potential complications include spasm, hematoma, and thermal injury from electrocautery.
Keywords:
CABGConduit harvestingHarvesting techniqueIMA harvestingInternal mammary artery

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  • These complications can compromise the quality of the arterial graft.