[Exposure for harvesting gastroepiploic artery graft].
We present out technique for harvesting the gastroepiploic artery (GEA). We use a Universal Stabilizer Arm and an assistant attachment to push the liver against the diaphragm, giving en enough working space to harvest the graft. Between January and December 2007, 99 isolated coronary artery bypass grafting (CABG)s were performed, and in 36 (36.4%) patients the GEA was harvested using this technique. The mean operation time was 251.1 +/- 40.5 minutes and the mean number of distal anastomosis was 3.6 +/- 0.8. The early patency rate of the GEA graft was 95%. Combined use of a Universal Stabilizer Arm and an assistant attachment provide good exposure for harvesting the GEA.
Department of Cardiovascular Surgery, Tachikawa Medical Center, Nagaoka, Japan.
Tsutomu
T
Sugimoto
K
K
Yamamoto
K
K
Takizawa
A
A
Uehara
T
T
Mishima
M
M
Sato
S
S
Yoshii
S
S
Kasuya
D000368:Aged; D001026:Coronary Artery Bypass; D005260:Female; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D008297:Male; D020858:Tissue and Organ Harvesting / Q000379:methods*