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ENDOSCOPIC VEIN HARVESTING:

The greater saphenous vein from the lower extremity is used for bypass surgery to bypass the blocked Coronary Arteries.

OLD METHOD:

This was done by opening the leg from ankle to thigh. This long incison used to be the cause of much pain and a major source of infection.


picture of very long incision necessary for old method


NEW METHOD:

Today we can procure the vein with a small 2 centimeter incision with very minimal discomfort, much less scarring, and less chance of infection as a result.

picture of small incisons with new method that leaves no scars


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Due to the nature of this video transcript is not avaialable
ENDOSCOPIC RADIAL ARTERY HARVESTING:

Radial Artery is gaining popularity as an alternative and a better conduit for bypass compared to vein.

OLD METHOD:

Harvesting the Radial artery was done with a long incision from the wrist to elbow.


picture of incision from wrist to elbow


NEW METHOD:

Today at the University of Kentucky we can harvest Radial Artery with a 2 centimeter incision at the wrist avoiding a long scar and damage to nerves. UK was the first hospital to offer this in the Lexington area and at this time, it is the only facility in Lexington to offer this technique.

picture of small 2cm incision




View the low resolution video (215 K)


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Due to the nature of this video transcript is not available

ROBOTIC INTERNAL MAMMARY ARTERY HARVESTING

Internal mammary artery (IMA) is shown to be the best bypass graft for CABG. Almost all the patients undergoing CABG surgery will have an IMA used for bypass. Traditionally IMA is harvested by splitting the sternum. At the university of Kentucky we are using the da Vinci Robot for the first time in the state to harvest IMA for bypass.

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Due to the nature of this video transcript is not available


We have also gone a step further to perform beating heart bypass surgery with small chest incision after harvesting the IMA with the Robot.



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