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A Technique to Harvest the Inferior Epigastric Arteries for Coronary Bypass Procedures
Author(s) -
MILGALTER ELI,
LAKS HILLEL
Publication year - 1991
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1991.tb00314.x
Subject(s) - medicine , inferior epigastric artery , mammary artery , artery , coronary arteries , surgery , vein , radiology , cardiology
A bstract The demonstrated superior long‐term patency of the internal mammary artery (IMA) over the saphenous vein (SV) has prompted the use of other arterial grafts, particularly for younger patients and patients without a suitable SV. We have used the single or bilateral inferior epigastric arteries (IEA) as a detached arterial conduit in 27 patients undergoing coronary artery bypass operations (CABG). In this report we describe the surgical anatomy of the IEA, preoperative noninvasive evaluation by duplex scan, our harvesting technique, and early surgical experience.