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Ann Thorac Surg 2002;74:1262-1263
© 2002 The Society of Thoracic Surgeons

How to do it

A novel method for performing sequential grafts with the radial artery

Silvana Marasco, FRACS*a, Donald Esmore, FRACS, FRCS (Edin)a

a CJOB Cardiothoracic Unit, Alfred Hospital, Melbourne, Australia

Accepted for publication May 1, 2002.

* Address reprint requests to Dr Marasco, Fellow in Thoracic and Cardiovascular Surgery, University of Virginia Medical Centre, PO Box 800136, Charlottesville, VA 22908 USA
e-mail: silvanamarasco{at}hotmail.com

We describe a novel technique for the construction of radial artery sequential grafts. By using a 2.7-mm aortic hole punch in the radial artery we are able to form a circular arteriotomy. This allows greater flexibility with orientation of the sequential anastomosis and potentially a wider-open anastomosis. It also avoids the problem of picking up the back wall of this often thick-walled muscular artery given the better visibility afforded by the technique.




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