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Ann Thorac Surg 2001;71:739-741
© 2001 The Society of Thoracic Surgeons

How to do it

Endoscopic vein harvesting with the aid of carbon dioxide insufflation

Malcolm J.R. Dalrymple-Hay, FRCSa, Aiman Alzetani, FRCSa, Robert Costa, FRACSa, Sunil K. Ohri, FRCSa

a Wessex Cardiothoracic Center, Southampton General Hospital, Southampton, United Kingdom

Accepted for publication April 17, 2000.

Address reprint requests to Dr Dalrymple-Hay, Department of Cardiothoracic Surgery, Southampton General Hospital, Tremona Rd, Southampton SO16 6YD, UK
e-mail: mdh{at}btinternet.com

Endoscopic harvesting of the long saphenous vein has been introduced to decrease the morbidity of obtaining venous conduit for coronary artery bypass grafting. Herein is described an endoscopic method using carbon dioxide insufflation into the tissues around the vein. This has several advantages; improved vision, no physical retraction required, easier development of tissue planes, and improved hemostasis.




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J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1259 - 1265.
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