ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Bruno Reichart
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lamm, P.
Right arrow Articles by Reichart, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lamm, P.
Right arrow Articles by Reichart, B.

Ann Thorac Surg 2000;69:1833-1835
© 2000 The Society of Thoracic Surgeons

Original articles: Cardiovascular

The harmonic scalpel: optimizing the quality of mammary artery bypass grafts

Peter Lamm, MDa, Gerd Juchem, MDb, Peter Weyrich, MDc, Albert Schütz, MDa, Bruno Reichart, MDa

a Department of Cardiac Surgery, University Hospital Großhadern, Ludwig-Maximilians-Universität München, München, Germany
b Department of Anesthesiology, University Hospital Großhadern, Ludwig-Maximilians-Universität München, München, Germany
c Department of Cardiology, University Hospital Grosshadern, Ludwig-Maximilians-Universität München, München, Germany

Address reprint requests to Dr Lamm, Department of Cardiac Surgery Universität München am Augustinum, Wolkerweg 16, 81375 München, Germany
e-mail: lamm{at}lrz.uni-muenchen.de

Background. The damage done to the endothelium during the preparation of a graft used in an aortocoronary procedure is a risk factor for early graft failure. We compared the effect on the endothelium of the mammary arteries when the harvest was done either by the harmonic scalpel (HS) or the high-frequency electrocauter (HF).

Methods. Twenty-four mammary arteries were harvested and divided into two groups depending on the use of the HS or the HF. The endothelial damage was analyzed with a scanning electron microscope. The groups were compared in regard to the size of the internal mammary artery (IMA) pedicle.

Results. The endothelial damage of the IMAs taken down with the HS was significantly less than when taken down with the HF if the IMA pedicle size was less than 0.5 cm.

Conclusions. The HS has a positive effect on the endothelial preservation, especially when the preparation is done closely to the IMA. The HS is profitable in minimally invasive procedures, particularly when it is difficult to keep a wide enough distance from the IMA.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. Pektok, M. Cikirikcioglu, C. Engin, G. Daglioz, Z. Ozcan, and H. Posacioglu
Does harvesting of an internal thoracic artery with an ultrasonic scalpel have an effect on sternal perfusion?
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 442 - 447.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Luciani, A. Anselmi, M. Gaudino, G. Nasso, F. Glieca, L. Martinelli, F. Santarelli, M. Perisano, and G. Possati
Harmonic Scalpel Reduces Bleeding and Postoperative Complications in Redo Cardiac Surgery
Ann. Thorac. Surg., September 1, 2005; 80(3): 934 - 938.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
P. P. Lima Canadas, A. C. Canas, J. L. Orradre Romeo, C. I. Rubio Martinez, L. F. Lopez Almodovar, and M. Calleja Hernandez
Endothelium histological integrity after skeletonized dissection of the left internal mammary artery with ultrasonic scalpel
Interactive CardioVascular and Thoracic Surgery, June 1, 2005; 4(3): 160 - 162.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F.P. Casselman, M. La Meir, G. Cammu, F. Wellens, R. De Geest, I. Degrieck, F. Van Praet, Y. Vermeulen, and H. Vanermen
Initial experience with an endoscopic radial artery harvesting technique
J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 463 - 466.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Yoshikai, T. Ito, K. Kamohara, and J. Yunoki
Endothelial integrity of ultrasonically skeletonized internal thoracic artery: morphological analysis with scanning electron microscopy
Eur. J. Cardiothorac. Surg., February 1, 2004; 25(2): 208 - 211.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Rukosujew, R. Reichelt, A. M. Fabricius, G. Drees, T. D. T. Tjan, M. Rothenburger, A. Hoffmeier, H. H. Scheld, and C. Schmid
Skeletonization versus pedicle preparation of the radial artery with and without the ultrasonic scalpel
Ann. Thorac. Surg., January 1, 2004; 77(1): 120 - 125.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Maruo, C. E. Hamner, A. J. Rodrigues, T. Higami, J. F. Greenleaf, and H. V. Schaff
Nitric oxide and prostacyclin in ultrasonic vasodilatation of the canine internal mammary artery
Ann. Thorac. Surg., January 1, 2004; 77(1): 126 - 132.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. Lamm, G. Juchem, A. Schutz, and B. Reichart
Is the harmonic scalpel feasible in cardiac reoperations?
Ann. Thorac. Surg., December 1, 2001; 72(6): 2185 - 2185.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.