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Eur J Cardiothorac Surg 1998;14:101-103
© 1998 Elsevier Science NL

How to do it

Use of the Harmonic Scalpel for harvesting arterial conduits in coronary artery bypass

Department of Cardiovascular Surgery, Shounan Kamakura General Hospital, 1202–1 Yamazaki, Kamakura, Kanagawa, Japan

Received 9 February 1998; received in revised form 14 April 1998; accepted 21 April 1998.

Corresponding author.

A simple and effective technique is described here for harvesting the gastroepiploic artery (GEA) and radial artery (RA) using the Harmonic Scalpel. The mean time of harvesting GEA was 9 min and that of RA was 17 min. There were no injuries or spasms of those grafts and the postoperative angiograms performed in 28 patients. This shows 100% patency of the conduits. The GEA and RA are safely harvested by using the Harmonic Scalpel and the use of arterial conduits in coronary artery bypass grafting (CABG) seems to be easily achieved.

Key Words: Harmonic Scalpel • Coronary artery bypass grafting • Radial artery • Gastroepiploic artery • Thermal injury

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