Skip to main content

Endoskopische Entnahme der Bypassgefäße

  • Chapter
Medizintechnik

Zusammenfassung

Eine Bypassoperation am Herzen ist erforderlich, wenn es im Rahmen einer „koronaren Herzkrankheit“ zu hochgradigen Verengungen (Stenosen) der Herzkranzarterien kommt. Dabei werden Blutfette, Thromben, Bindegewebe und Kalk in den Gefäßen abgelagert, und der Herzmuskel kann durch die Engstellen nicht mehr ausreichend mit Blut versorgt werden. Bei der Bypassoperation werden die stenosierten Herzkranzarterien überbrückt. Somit wird ein Umgehungskreislauf geschaffen, worüber der Herzmuskel mit Blut versorgt werden kann.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Literatur

  1. Vara DS, Salacinski HJ, Kannan RY, Bordenave L, Hamilton G, Seifalian AM. Cardiovascular tissue engineering: state of the art. Pathol Biol (Paris). 2005;53:599–612.

    Google Scholar 

  2. Favaloro RG. Saphenous vein autograft replacement of severe segmental coronary artery occlusion: operative technique. Ann Thorac Surg. 1968;5:334–9.

    Article  Google Scholar 

  3. Lumsden AB, Eaves FF, 3rd, Ofenloch JC, Jordan WD. Subcutaneous, video-assisted saphenous vein harvest: report of the first 30 cases. Cardiovasc Surg. 1996;4:771–6.

    Article  Google Scholar 

  4. Tevaearai HT, Mueller XM, von Segesser LK. Minimally invasive harvest of the saphenous vein for coronary artery bypass grafting. Ann Thorac Surg. 1997;63:S119–21.

    Article  Google Scholar 

  5. Allen KB, Shaar CJ. Endoscopic saphenous vein harvesting. Ann Thorac Surg. 1997; 64: 265–6.

    Article  Google Scholar 

  6. Jordan WD, Jr., Voellinger DC, Schroeder PT, McDowell HA. Video-assisted saphenous vein harvest: the evolution of a new technique. J Vasc Surg. 1997;26:405–12; discussion 413–4.

    Article  Google Scholar 

  7. Chiu KM, Lin TY, Wang MJ, Chu SH. Reduction of carbon dioxide embolism for endoscopic saphenous vein harvesting. Ann Thorac Surg. 2006;81:1697–9.

    Article  Google Scholar 

  8. Royse AG. Radial artery harvest using the harmonic scalpel. Ann Thorac Surg. 1999; 67: 894–6.

    Google Scholar 

  9. Cikirikcioglu M, Yasa M, Kerry Z, Posacioglu H, Boga M, Yagdi T, Topcuoglu N, Buket S, Hamulu A. The effects of the Harmonic Scalpel on the vasoreactivity and endothelial integrity of the radial artery: a comparison of two different techniques. J Thorac Cardiovasc Surg. 2001;122:624–6.

    Article  Google Scholar 

  10. Bleiziffer S, Libera P, Lange R. Endoscopic radial artery harvesting through a single incision. Thorac Cardiovasc Surg. 2006;54:208–209.

    Article  Google Scholar 

  11. Yun KL, Wu Y, Aharonian V, Mansukhani P, Pfeffer TA, Sintek CF, Kochamba GS, Grunkemeier G, Khonsari S. Randomized trial of endoscopic versus open vein harvest for coronary artery bypass grafting: six-month patency rates. J Thorac Cardiovasc Surg. 2005;129:496–503.

    Article  Google Scholar 

  12. Illig KA, Rhodes JM, Sternbach Y, Green RM. Financial impact of endoscopic vein harvest for infrainguinal bypass. J Vasc Surg. 2003;37:323–30.

    Article  Google Scholar 

  13. Bleiziffer S, Hettich I, Eisenhauer B, Ruzicka D, Wottke M, Hausleiter J, Martinoff S, Morgenstern M, Lange R. Patency rates of endoscopically harvested radial arteries one year after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2007. in press

    Google Scholar 

  14. Allen KB, Heimansohn DA, Robison RJ, Schier JJ, Griffith GL, Fitzgerald EB. Influence of endoscopic versus traditional saphenectomy on event-free survival: five-year follow-up of a prospective randomized trial. Heart Surg Forum. 2003;6:E143-5.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bleiziffer, S., Lange, R. (2009). Endoskopische Entnahme der Bypassgefäße. In: Wintermantel, E., Ha, SW. (eds) Medizintechnik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-93936-8_65

Download citation

Publish with us

Policies and ethics