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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. 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.
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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. ![]() View the low resolution video (175 K) View the normal resolution video (4 MB) View the high resolution full screen video (8.67 MB) Due to the nature of this video transcript is not avaialable
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Radial Artery is gaining popularity as an alternative and a better conduit for bypass compared to vein. Harvesting the Radial artery was done with a long incision from the wrist to elbow. ![]()
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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. ![]() View the low resolution video (215 K) View the normal resolution video (4 MB) View the high resolution full screen video (11.67 MB)
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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. View the low resolution video (348 K) View the normal resolution video (4.2 MB) View the high resolution full screen video (17.5 MB)
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