1. An Arterial and Venous Graft Holder for Coronary Artery Bypass Grafting 
Huseyin Okutan, MD 
The Annals of Thoracic Surgery 
Volume 86, Issue 1, Pages (July 2008)
DOI: /j.athoracsur
Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
The arterial and venous graft holder consists of a flexible arm and a handle.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
(A) A view of the handle, (B) atraumatic clip, and (C) the coronary probes.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
The handle is held adjacent to the end of the graft. (A) The edge of the heel portion is opened with the insertion of the coronary probe, which facilitates needle insertion. The suture is started from outside-in on the graft, and then inside-out on the artery, working into the heel from the surgeon's side, and then out from the heel on the side opposite the surgeon. After the coronary probe has been removed, (B) the graft is lowered into position and the suture is continued to the toe. (C) The redundant graft is cut in-line with the no-touch technique. (D) Anastomosis is completed in routine fashion.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions