Improved technique of nitinol sternal clip application.

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.