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when saphenous vein grafts are used as coronary bypass grafts they are harvested using either the open method where an incision is made along the entire required length of the vein or the endovascular method where much smaller incisions are made at both ends of the needed length and the vein is removed and discarded it is reversed a vein cannula is usually attached to the proximal end of the vein that will be anastomosis to the aorta and it is checked for leaks in this animation for a direct injection you see vein grafts to three different coronary arteries the surgeon attaches a nice EG solution filled syringe and slowly injects through the Beng graft into the artery during an actual case the scrub person will have prepared several syringes and each injection will be done separately for direct injection it is very important to follow the protocol for preparing the ICG solution as it is diluted considerably more than the standard method when capturing a video remember the fluor
