Key result
Distal occlusion of the internal thoracic artery at the beginning of skeletonized harvesting was presented as a technique modification to increase hydrostatic pressure, diameter, and flow earlier.
Why the study?
The classical technique of internal thoracic artery harvesting uses distal vascular clamp placement at the end of the procedure to increase artery hydrostatic pressure, diameter, and flow, but earlier occlusion may provide earlier benefits.
Answers are grounded in this paper and cite their sources.
Placing a distal vascular clamp at the beginning rather than the end of internal thoracic artery harvesting is proposed to enhance internal hydrostatic pressure, diameter, and flow earlier in the procedure.
A common element of internal thoracic artery harvesting techniques is a distal vascular clamp placement at the end of the procedure, not only to avoid bleeding, but also to increase the internal hydrostatic pressure, diameter and flow. The logic indicates that the placement of this clamp at the beginning of the dissection will allow the artery to benefit earlier from these advantages. After more than five years of experience, we present a modification in the classical technique of skeletonized harvesting of the internal thoracic artery, consisting of artery distal occlusion at the beginning of the procedure. Some of its advantages are discussed.
No takes yet. Share an insight, caveat, or question.
Cruz et al. (2020) studied Internal thoracic artery harvesting. Distal occlusion of the internal thoracic artery at the beginning of the procedure vs. Distal occlusion at the end of the procedure was evaluated. Distal occlusion of the internal thoracic artery at the beginning of skeletonized harvesting was presented as a technique modification to increase hydrostatic pressure, diameter, and flow earlier.
Synapse has enriched 10 related papers. Consider them for comparative context: