PROCEDURE PERFORMED: Open harvest of the left greater saphenous vein with
bridge incisions.
a history
of a known left internal carotid artery aneurysm supraclinoid measuring 1.2 x
1.1 cm. I was consulted intraoperatively for greater saphenous vein harvest
from the left lower extremity. Patient had a prior left radial artery
harvest. When I arrived, patient was prepped and draped. Consent had been
Obtained. The distal portion of the saphenous vein had been harvested from the ankle to mid-shin.
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DESCRIPTION OF PROCEDURE: A transverse incision was made below the knee and
the greater saphenous vein was dissected out. Using bridge incisions and
tunneling technique, the greater saphenous vein was harvested with side
branches clipped and divided. The distal portion of the vein had already been
harvested from the ankle upwards. The vein was ligated at the
proximal portion just below the knee with clips, brought through the tunnels,
and the distal end was ligated with clips as well. The distal end was marked.
A vein cannula wasinserted. Then, small branches were clipped. Two small areas of leak were
repaired with 7-0 Prolene figure-of-eight sutures. The vein dilated nicely.
The wound beds were hemostatic and will be closed by the neurosurgery service.