Improved Technique of Nitinol Sternal Clip Application

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Many cardiac surgeons are becoming increasingly familiar with the advantages and application of nitinol sternal thermo-reactive clip (Flexigrip; Praesidia, Bologna, Italy) in sternotomy closure. However, we will be describing an alternative technique of flexigrip clip application that is even easier to perform, with additional advantages of a more precise measurement of sternal width and allowed identification of sternal midline before sternotomy.

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