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Extrafascial Harvesting of Radial Artery for Coronary Artery Grafting

Care Hospital, The Heart Institute Hyderabad, India

For reprint information contact: Gutti Ramasubrahmanyam, MCh Tel: 91 40 473 5465 Fax: 91 40 474 5110 Care Hospital, The Heart Institute, Exhibition Road, Nampally, Hyderabad 500001, India.

A modified method of harvesting radial artery conduit for use in coronary bypass surgery is described. Extrafascial harvesting reduces the incidence of conduit spasm during harvest and after grafting. The muscular branches are of adequate size to be ligated with silk without using clips. Whether there is any difference in long-term graft patency rates between extrafascial and intrafascial harvesting needs to be evaluated.