Department of Cardiovascular Surgery, Santa Clara Cardiac Center, Santa Clara, Villa Clara, Cuba.
Department of Cardiovascular Surgery, Hermanos Ameijeiras Hospital, Havana Center, Havana, Cuba.
Braz J Cardiovasc Surg. 2021 Jun 1;36(3):416-419. doi: 10.21470/1678-9741-2020-0308.
A common element of internal thoracic artery harvesting techniques is a distal vascular clamp placement at the end of the procedure, not only to avoid bleeding, but also to increase the internal hydrostatic pressure, diameter and flow. The logic indicates that the placement of this clamp at the beginning of the dissection will allow the artery to benefit earlier from these advantages. After more than five years of experience, we present a modification in the classical technique of skeletonized harvesting of the internal thoracic artery, consisting of artery distal occlusion at the beginning of the procedure. Some of its advantages are discussed.
胸廓内动脉采集技术的一个常见要素是在手术结束时放置远端血管夹，这不仅可以避免出血，还可以增加内部静水压力、直径和流量。逻辑表明，在解剖开始时放置此夹子将使动脉更早地受益于这些优势。经过五年多的经验，我们对胸廓内动脉游离采集的经典技术进行了改良，即在手术开始时对动脉进行远端闭塞。讨论了其一些优点。
