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Ann Thorac Surg 1988;46:470-471
© 1988 The Society of Thoracic Surgeons

Articles

Carbodissection of the Internal Thoracic Artery Pedicle

Myles Edwin Lee, M.D.*

Division of Thoracic and Cardiovascular Surgery, Centinela Hospital Medical Center, Inglewood, CA

Accepted for publication May 23, 1988.

* Address reprint requests to Dr. Lee, Division of Thoracic and Cardiovascular Surgery, Centinela Hospital Medical Center, 575 E. Hardy St, Suite 201, Inglewood, CA 90301

Carbodissection of the internal thoracic artery pedicle facilitates separation of the internal thoracic artery from the chest wall and permits rapid atraumatic exposure of its branches for precise clipping under direct vision, without the risks of thermal injury inherent in cautery dissection of the pedicle. Twenty-four internal thoracic arteries have been prepared for coronary artery bypass grafting using carbodissection, with no complications and an average operating time of 19.8 minutes.




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