Endoscopic Internal Thoracic Artery Harvesting with Changes in Scope Position
Autor: | Yasuhide Okawa, Sho Takagi, Junji Yanagisawa, Akio Nakasu, Goto Yoshihiro |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Scope (project management) business.industry Video-Assisted Surgery General Medicine Internal thoracic artery Coronary Restenosis Position (obstetrics) medicine.artery Tissue and Organ Harvesting medicine Humans Female Surgery Radiology Coronary Artery Bypass Mammary Arteries Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aged |
Zdroj: | The Heart Surgery Forum. 24:E950-E951 |
ISSN: | 1522-6662 1098-3511 |
Popis: | Although minimally invasive direct coronary artery bypass (MIDCAB) is a less invasive procedure, internal thoracic artery (ITA) harvesting is difficult. A 65-year-old woman was advised to undergo MIDCAB for recurrent in-stent restenosis. We harvested the ITA using three-dimensional endoscopy without robotics and determined the scope position using enhanced computed tomography. We changed the camera installation between the wound and the camera port, according to the harvesting site with a harmonic scalpel using the skeletonized technique. We harvested the ITA from the subclavian vein level superiorly to the xyphoid process level inferiorly. |
Databáze: | OpenAIRE |
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