Vessel Harvesting

in Los Angeles Area

Alexander Marmureanu performs numerous vessel harvesting procedures each year.

Our Approach


How I Perform Vessel Harvesting

This intervention can be performed either traditionally or endoscopically. However, due to the fact that traditional vessel harvesting entails a series of inconveniences and disadvantages both for the patient and the surgeon, two innovative endoscopic procedures, which are substantially more effective, are employed nowadays:

  • endoscopic vessel harvesting
  • endoscopic radial artery harvesting

The graft can be collected from one of the following regions of your body:

  • the chest (the mammary artery)
  • the forearm (the radial artery)
  • the leg (the saphenous vein)

Endoscopic Vessel Harvesting

Unlike the traditional procedure, endoscopic vessel harvesting implies one or several small incisions in your leg, through which a special device (endoscope, a thin, flexible tube) equipped with a camera and additional medical instruments will be inserted. You will be administered local anesthesia prior to the proper harvesting or, if the intervention is performed during your coronary artery bypass surgery, general anesthesia. The endoscope will then be threaded through the incision while we will carefully monitor its track on the console's screen. When it reaches your saphenous vein, the instrument attached to the endoscope will section off a portion of the vessel, which will subsequently be extracted from your leg via the same route.

Endoscopic Radial Artery Harvesting

This vessel harvesting procedure is performed on your forearm in order to collect a portion of your radial artery. After you receive anesthesia, two small incisions (of one inch each) will be made in your forearm. The endoscope will then be inserted through one of them and subsequently cut off a section of your vein with the aid of the special instrument attached to it. The portion of tissue will ultimately be used to create a graft for your coronary artery bypass surgery.

For the harvesting of the mammary artery in your chest, the Da Vinci Si robotic surgery might be employed. In this case, vessel harvesting is performed with the use of several metallic arms introduced in the chest region through multiple small incisions. The robotic arms are operated by the surgeon from a console with great precision and the portion of tissue is collected similarly: a medical instrument attached to one of the arms will section off a piece of your artery, which will subsequently serve as a bypass graft.

call to Request an appointment

(310) 208-4400

Our Locations


Marina Del Rey Hospital

4650 Lincoln Blvd, Marina Del Rey, CA 90292

310-823-8911
St. Vincent Medical Center

2131 W 3rd St, Los Angeles, CA 90057

213-484-7111
Ronald Reagan UCLA Medical Center

757 Westwood Plaza, Los Angeles, CA 90095

(310) 825-9111
Cedar-Sinai Medical Center

8700 Beverly Blvd. Los Angeles, CA 90048

310-423-3277
Hollywood Presbyterian Medical Center

1300 N Vermont Ave, Los Angeles, CA 90027

213-413-3000
Centinela Freeman Regional Medical Center

555 E Hardy St, Inglewood, CA 90301

310-673-4660
Olympia Medical Center

5900 W Olympic Blvd, Los Angeles, CA 90036

310-657-5900
Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA 90401

310-829-5511

Our Patients


Who Needs Vessel Harvesting?

Vessel harvesting is necessary for coronary artery bypass surgery. Therefore, patients who have been diagnosed with severe coronary artery disease, as well as those whose condition cannot be improved with the use of non-invasive treatments such as medication and lifestyle changes, may be recommended this procedure as a part of their surgical intervention.

Endoscopic vessel harvesting involves substantial benefits for the patient, including:

  • less pain and discomfort following the procedure
  • reduced tissue scarring
  • less trauma inflicted to the tissue in your arm or leg during the intervention
  • a shorter recovery period

Recovery


What to Expect After Vessel Harvesting

Considering the fact that vessel harvesting is most commonly performed as a part of coronary artery bypass surgery, recovery will preponderantly focus on postoperative care aspects related to this surgical intervention, such as cardiac rehabilitation and the monitoring of your vital signs. However, as far as your vessel harvesting incisions are concerned, you should pay attention to the following points in order to make sure the wounds heal properly:

  • examine the area for signs of infection such as fever, a yellow or green discharge, swelling, redness, bleeding or a change in the size of the wounds
  • regularly change the dressing on your incisions according to the directions of your physician
  • avoid exposure to sunlight
  • do not apply body lotion or other hygiene products on the wounds
  • avoid getting the region wet until it is completely healed
  • do not rub or scratch your incisions