3 print version nurses basics of vascular surgery Open heart surgery
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Transcript of 3 print version nurses basics of vascular surgery Open heart surgery
Principles of Vascular Closureheart is a (bent) vessel !!
•Full thickness •Angle to center• ‘inside out’ on artery•Posterior Anterior / Distal Proximal•Sutures Under vision •Avoid narrowing
endothelium is an ‘organ’ not a passive membrane
End to Side Anastomosissteps
•Site chosen , artery clamped – opened•Shunt inserted•Graft length decided, graft clamped- cut -
beveled•Suture decided•Graft held away, heel sutures taken•Graft lowered, sutures tightened•Suturing continued on one/ either side•Sutures loosened – shunt removed – tied•Clamp released , bleeding checked
Terminologies•Harvesting•Composite graft• In Situ•Prosthesis• Inside out / out side in•Follow •Tunnel•Fall
CONDUITS
ARTERIAL
VENOU S
AU TOL OG OU SH O M O L O G O U S
H E TE R O L O G O U S
N A TU R A L
K N ITTE DW O V E N
S O L ID B L O W N
S Y N TH E TIC C O M P O S ITE
C O N D U IT