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Master the Art of Endoscopic Radial Artery Harvesting

There has been an upward trend in the use of the radial artery (RA) as a conduit for bypass grafting in coronary artery bypass graft (CABG) procedures.1

One factor contributing to this trend is the growing prevalence of multiple arterial grafting. This technique, which is defined as two or more distal anastomoses with arterial conduits, has increased from 10.9% of CABG procedures in 2020 to 14.3% of CABG procedures in 2021.

Usage of bilateral internal mammary arteries and usage of radial artery has slowly increased (Figure 1), accounting for 6.7% and 9.1% of all isolated CABG procedures in 2021, respectively.

Graph data provided by The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database

Follow Our Roadmap to ERAH Expertise

Terumo Cardiovascular has identified nine key milestones to prepare you for optimal endoscopic radial artery harvesting results with the VirtuoSaph Plus EVH System

A Closer Look At The ERAH Procedure

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Dissection

A systematic approach for clearing the tissue surrounding the radial artery pedicle to create an optimal, efficient tunnel.
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Fasciotomy

A critical step to reduce direct pressure on the radial artery, create a working tunnel, and avoid compartment syndrome.
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Harvest

The final step for separating branches and freeing the radial artery pedicle prior to removal for coronary or peripheral artery bypass grafting.

VirtuoSaph Plus Endoscopic Vessel Harvesting System Ordering Information

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Terumo’s Advanced EVH Clinical Training Program

 

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Free Webinar: Endoscopic Radial Artery Harvesting: When, Why and How?

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1. Cancelli, Gianmarco, et al. “The Evidence for Radial Artery Grafting: When and When Not?” JTCVS Techniques, vol. 10, 2021, pp. 114–119, https://doi.org/10.1016/j.xjtc.2021.09.039.

Refer to this device’s Instructions For Use (IFU) for the risks associated with its use.