Method for creation of the aortotomy site for saphenous vein grafts.

Alexander, J C; Votapka, T V; Curran, R D; Unger, J M; Hillman, N D · Ann Thorac Surg · 1998

Level V

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Abstract

Saphenous vein coronary artery bypass grafting requires a proximal anastomosis of the vein to the aorta. A variety of techniques have been described to create the aortotomy. We have developed a four-sided knife (Xcision Scalpel; patent pending, Research Medical, Inc, Midvale, UT) that facilitates the creation of a more uniform circular aortotomy. The purpose of this communication is to describe the knife and the technique for its use.

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