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Radial Artery and Saphenous Vein Harvesting

 
 
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Endoscopic Radial Artery Harvesting

Prior to performing bypass surgery, the heart surgeon determines what type of blood vessels are needed to create the bypass graft.

Heart surgeons may use the artery in your chest (mammary or thoracic artery), the artery in your arm (radial artery) or the veins in your legs (saphenous veins)

In the past, obtaining the saphenous vein or radial artery required a long incision. Endoscopic (minimally invasive or small incision) approaches now allow for a better overall patient experience after coronary artery bypass surgery. Because the incisions are tiny, endoscopic procedures cause little blood loss and the risk of infection is small. These techniques reduce patient discomfort, minimize scarring and shorten recovery time.

Cleveland Clinic physicians have been performing endoscopic saphenous vein harvesting for several years. The surgeon creates a small incision in the groin and one or two 1 inch-incisions in the leg, near the knee. Using special instruments, the surgeon delicately removes the saphenous vein and closes the incision.

In 2005, Cleveland Clinic surgeons expanded the minimally invasive approach to include harvesting of radial arteries. In this procedure, the surgeon makes a small incision near the wrist and one near the forearm. Similar to saphenous vein harvesting, the surgeon uses special instrumentation to remove the artery and then closes the incisions.

Cleveland Clinic heart surgeons use endoscopic techniques whenever possible. Your surgeon will discuss the best procedure to meet your needs.

Additional information you may also be interested in:

If you need more information about coronary artery bypass surgery or would like to make an appointment with a specialist, contact us, chat online with a nurse or call the Miller Family Heart and Vascular Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.

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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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