Maquet VASOVIEW 7, Руководство по обучению, Страница: 5 / 40

5 | | MAQUET Medical Systems USA | ENDOSCOPIC VESSEL HARVESTING |
VASOVIEW 7 | Training Manual | English | v1
Copyright MAQUET Gmbh
EndOScOpic VESSEl HarVESTing
radial arTEry prOcEdurE-aT-a-glancE
initiating cO
2
insufflation
Insert the Short Port Blunt Tip Trocar (BTT) into position and
begin CO
2
insufflation. Perform anterior, posterior, and lateral
dissection of the radial artery pedicle with the Dissection Tip
on the 7 mm endoscope.
fasciotomy
Insert the VASOVIEW 7 Harvesting Cannula. Using the
BiSECTOR™ Bipolar Ligating Forceps, release the fascia,
cutting it from the distal to the proximal forearm.
cauterizing and Transecting branches
Use the C-Ring to protect the radial artery pedicle and expose
the branches. Using the BiSECTOR tool, cauterize and
transect branches.
running the Vessel
Deploy the C-Ring from the VASOVIEW 7 Harvesting Cannula,
engage the radial artery with the C-Ring and run the length of
the artery to ensure that it is completely free and that no bran-
ches remain.
Transection and retrieval
Make a stab incision near the elbow, clamp the radial artery
pedicle and externalize it through the stab incision. Transect
the radial artery. Ligate the proximal radial artery, and then in
retrograde fashion, retrieve the radial artery pedicle from the
original incision at the wrist.
incision
Beginning just proximal to the wrist crease, create a
longitudinal incision. Attach the Dissection Tip to the end of
the 7 mm endoscope. Insert the 7 mm endoscope into the
incision and visualize on the video monitor.