How to robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps

Tugba Arslan; Samuel Heuts; Husam H Balkhy; Steven Jacobs; Wouter Oosterlinck

doi:10.1510/mmcts.2025.093

How to robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps

Tugba Arslan
, Samuel Heuts
, Husam H Balkhy
, Steven Jacobs
, Wouter Oosterlinck

Research output: Non-textual / digital / web - outputs › Digital or Visual Products › Academic

Abstract

In minimally invasive direct coronary artery bypass surgery, the integrity of the internal mammary artery graft depends on the minimization of trauma during its harvesting. Moreover, bipolar cauterization of side branches has shown superiority in animal studies. This report highlights the use of bipolar micro forceps in robotic skeletonized internal mammary artery harvesting. Its application offers optimal tissue handling, safe cauterization, minimal thermal spread, and time-efficiency, as instrument exchange is minimized, significantly decreasing harvesting time.

Original language	English
DOIs	https://doi.org/10.1510/mmcts.2025.093
Publication status	Published - 27 Aug 2025

Keywords

Coronary artery bypass graft
Electrothermal bipolar vessel sealing device
IMA harvesting
Robotic surgery
Robotic-assisted minimally invasive direct coronary artery bypass grafting
Humans
Mammary Arteries/surgery transplantation
Tissue and Organ Harvesting/methods instrumentation
Robotic Surgical Procedures/methods instrumentation
Coronary Artery Bypass/methods instrumentation
Surgical Instruments
Minimally Invasive Surgical Procedures/methods instrumentation

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10.1510/mmcts.2025.093

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title = "How to robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps",

abstract = "In minimally invasive direct coronary artery bypass surgery, the integrity of the internal mammary artery graft depends on the minimization of trauma during its harvesting. Moreover, bipolar cauterization of side branches has shown superiority in animal studies. This report highlights the use of bipolar micro forceps in robotic skeletonized internal mammary artery harvesting. Its application offers optimal tissue handling, safe cauterization, minimal thermal spread, and time-efficiency, as instrument exchange is minimized, significantly decreasing harvesting time.",

keywords = "Coronary artery bypass graft, Electrothermal bipolar vessel sealing device, IMA harvesting, Robotic surgery, Robotic-assisted minimally invasive direct coronary artery bypass grafting, Humans, Mammary Arteries/surgery transplantation, Tissue and Organ Harvesting/methods instrumentation, Robotic Surgical Procedures/methods instrumentation, Coronary Artery Bypass/methods instrumentation, Surgical Instruments, Minimally Invasive Surgical Procedures/methods instrumentation",

author = "Tugba Arslan and Samuel Heuts and Balkhy, \{Husam H\} and Steven Jacobs and Wouter Oosterlinck",

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doi = "10.1510/mmcts.2025.093",

language = "English",

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AU - Arslan, Tugba

AU - Heuts, Samuel

AU - Balkhy, Husam H

AU - Jacobs, Steven

AU - Oosterlinck, Wouter

PY - 2025/8/27

Y1 - 2025/8/27

N2 - In minimally invasive direct coronary artery bypass surgery, the integrity of the internal mammary artery graft depends on the minimization of trauma during its harvesting. Moreover, bipolar cauterization of side branches has shown superiority in animal studies. This report highlights the use of bipolar micro forceps in robotic skeletonized internal mammary artery harvesting. Its application offers optimal tissue handling, safe cauterization, minimal thermal spread, and time-efficiency, as instrument exchange is minimized, significantly decreasing harvesting time.

AB - In minimally invasive direct coronary artery bypass surgery, the integrity of the internal mammary artery graft depends on the minimization of trauma during its harvesting. Moreover, bipolar cauterization of side branches has shown superiority in animal studies. This report highlights the use of bipolar micro forceps in robotic skeletonized internal mammary artery harvesting. Its application offers optimal tissue handling, safe cauterization, minimal thermal spread, and time-efficiency, as instrument exchange is minimized, significantly decreasing harvesting time.

KW - Coronary artery bypass graft

KW - Electrothermal bipolar vessel sealing device

KW - IMA harvesting

KW - Robotic surgery

KW - Robotic-assisted minimally invasive direct coronary artery bypass grafting

KW - Humans

KW - Mammary Arteries/surgery transplantation

KW - Tissue and Organ Harvesting/methods instrumentation

KW - Robotic Surgical Procedures/methods instrumentation

KW - Coronary Artery Bypass/methods instrumentation

KW - Surgical Instruments

KW - Minimally Invasive Surgical Procedures/methods instrumentation

U2 - 10.1510/mmcts.2025.093

DO - 10.1510/mmcts.2025.093

M3 - Digital or Visual Products

VL - 2025

ER -

How to robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps

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Keywords

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