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Ann Thorac Surg 1997;64:1183-1185
© 1997 The Society of Thoracic Surgeons

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How To Do It

Endoscopic Saphenous Vein Harvesting: Minimally Invasive Video-Assisted Saphenectomy

Cardiac Surgical Research Center and Section of Cardiovascular Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Accepted for publication April 14, 1997.

A technique of greater saphenous vein harvesting for coronary artery revascularization using an endoscopic approach is herein detailed. The saphenous vein is directly identified at the knee through a single incision. An endoscopic dissector is advanced proximally and distally along the course of the vein, ligating side-branches with clips. The vein is divided at the ends of dissection, dependent on patient anatomy, by either a counterincision, endoscopic clips, or ligation with an Endo-loop.

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