Nanoscale Radiofrequency Control Technology for Endoscopic Radial Artery Harvesting: A Case Report

Authors

  • Gianluigi Bisleri
  • Paolo Piccoli
  • Tomasz Hrapkowicz
  • Hasan Birtan
  • Claudio Muneretto

DOI:

https://doi.org/10.1532/HSF98.20061017

Abstract

A recent revival in the use of the radial artery for bypass surgery stimulated the development of minimally invasive harvesting techniques since the endoscopic approach has several advantages when compared to the open technique. A novel nanoscale radiofrequency-controlled device has been recently introduced in the surgical armamentarium as a vesselsealing system, albeit to date it has been mainly used in the urological setting. To our knowledge, this is the first report in the literature about the use of such an innovative device for endoscopic harvesting of the radial artery, along with a stainless steel resterilizable retractor conventionally used for endoscopic vein harvesting.

References

Acar C, Jebara VA, Portoghese M, et al. 1992. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 54:652-60.nBrill AI. 2004. Mapping the thermal gradient of a new radiofrequency bipolar vessel sealing device, EnSeal, using real-time thermography. J AmAssoc Gynecol Laparosc 11(Suppl 3):S7.nConnolly MW, Torrillo LD, Stauder MJ, et al. 2002. Endoscopic radial artery harvesting: results of first 300 patients. Ann Thorac Surg 74:502-6.nDamani T, Advincula A, Way LW. 2005. Comparative thermal spread of three bipolar radiofrequency vessel sealing devices. Annual Congress of the Society of American Gastrointestinal Endoscopic Surgeons, April 13-16, 2005, Ft. Lauderdale, FL, USA.nDenes BS, de la Torre RA, Krummel TM, Oleson LSM. 2003. Evaluation of a vessel sealing system in a porcine model. 21st World Congress of Endourology-Moderated Poster Session, Endourology/Laproscopy: Laboratory & Teaching, September 2003, Montreal, Canada.nMuneretto C, Bisleri G, Negri A, et al. 2004. Left internal thoracic artery-radial artery composite grafts as the technique of choice for myocardial revascularization in elderly patients: a prospective randomized evaluation. J Thorac Cardiovasc Surg 127:179-84.nPatel AN, Henry AC, Hunnicutt C, Cockerham CA, Willey B, Urschel HC. 2004. Endoscopic radial artery harvesting is better than the open technique. Ann Thorac Surg 78:149-53.nTurner DJ, Denes BS, de la Torre RA, Krummel TM, Oleson LSM. 2003. Thermal effects and effectiveness of a new vessel sealing system in a porcine model. Global Congress of Gynecologic Endoscopy November 19-22, Las Vegas, NV, USA.n

Published

2006-06-20

How to Cite

Bisleri, G., Piccoli, P., Hrapkowicz, T., Birtan, H., & Muneretto, C. (2006). Nanoscale Radiofrequency Control Technology for Endoscopic Radial Artery Harvesting: A Case Report. The Heart Surgery Forum, 9(4), E700-E702. https://doi.org/10.1532/HSF98.20061017

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