Abstract
The gold standard in left anterior descending branch coronary artery surgery is performing an internal thoracic artery (ITA)bypass.Seventy-four ITA specimens were divided into two groups depending on device used for harvesting (radiofrequency-knife (RF) or electrocauter (EC)). Demonstrated results suggest that the radiosurgery in comparison to conventional electrocautery could reduce thermal damage to the endothelial layer of ITA, compared to the conventional electrocautery and potentially optimize the quality of ITA bypass grafts.
Highlights
The gold standard in left anterior descending branch coronary artery surgery is performing an internal thoracic artery (ITA) bypass
Skeletonization techniques of harvesting have been suggested for maximizing the utility of ITA
It still remains questionable what is the best method for ITA harvesting in a skeletonized fashion according to structural integrity of artery, as a risk factor of early and late graft failure
Summary
The gold standard in left anterior descending branch coronary artery surgery is performing an internal thoracic artery (ITA) bypass. Skeletonization techniques of harvesting have been suggested for maximizing the utility of ITA. It still remains questionable what is the best method for ITA harvesting in a skeletonized fashion according to structural integrity of artery, as a risk factor of early and late graft failure. The purpose of this study was to determine the impact of the ultra-high radiofrequency energy (2.0 – 4.0 MHz) used for ITA harvesting on arterial structural integrity, in particular on the endothelial layer
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