A novel method for performing sequential grafts with the radial artery

We describe a novel technique for the construction of radial artery sequential grafts. By using a 2.7-mm aortic hole punch in the radial artery we are able to form a circular arteriotomy. This allows greater flexibility with orientation of the sequential anastomosis and potentially a wider-open anastomosis. It also avoids the problem of picking up the back wall of this often thick-walled muscular artery given the better visibility afforded by the technique.