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Coronary surgery: devices for proximal anastomosis

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Sutureless Anastomoses
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Abstract

In this chapter we review the most recent technologies allowing the construction of the side-to-end anastomosis between ascending aorta and conduit, either vein or artery. For each device, we describe the technical characteristics (device design), report the published results of the most important experimental and clinical studies (experimental work up and clinical results) and conclude the device’s presentation with specific observations that could help the reader to better understand its values and limits (comments).

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References

  1. Eckstein FS, Bonilla LF, Engleberger L et al. (2002) The St. Jude symmetry aortic connector system for proximal vein graft anastomoses in coronary artery bypass grafting. J Thorac Cardiovasc Surg 123:777–782

    Article  PubMed  Google Scholar 

  2. Dewey TM, Crumrine K, Herbert MA et al. (2004) First year outcomes of beating heart coronary artery bypass grafting using proximal mechanical connectors. Ann Thorac Surg 77:1542–1549

    Article  PubMed  Google Scholar 

  3. Carrel T, Eckstein F, Englberger L, Berdat P, Schmidli J (2004) Clinical experience with devices for facilitated anastomoses in coronary artery bypass surgery. Ann Thorac Surg 77:1110–1120

    Article  PubMed  Google Scholar 

  4. Traverse JH, Mooney MR, Pedersen W et al. (2003) Clinical, angiographic, and interventional follow-up of patients with aortic-saphenous vein graft connectors. Circulation 108:452–456

    Article  PubMed  Google Scholar 

  5. Katariya K, Teharani H, Yassin S, Masroor S, Salerno TA (2003) Initial experience with sutureless proximal anastomoses performed with a mechanical connector leading to clampless OPCAB. STS Ann Meet Proceedings, p 160

    Google Scholar 

  6. Morota T, Duhaylongsod FG, Burfeind WR, Huang C-T (2002) Intraoperative evaluation of coronary flow anastomosis by transit-time ultrasonic flow measurement. Ann Thorac Surg 73:1146–1150

    Article  Google Scholar 

  7. Puskas JD, Williams WH, Mahoney EM et al. (2004) Off-pump vs conventional coronary artery bypass grafting: early and 1 year graft patency, cost and quality of life outcomes. JAMA 291:1841–1849

    Article  PubMed  CAS  Google Scholar 

  8. D’Ancona G, Karamanoukian H, Ricci M et al. (2000) Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg 17:287–293

    Article  PubMed  CAS  Google Scholar 

  9. Tozzi P, Corno AF, Marty B, von Segesser LK (2004) Sutureless videoendoscopic thoracic aorta to iliac artery bypass: the easiest approach to occlusive aorto-iliac diseases. Eur J Vasc Endovasc Surg 27(5):498–500

    Article  PubMed  CAS  Google Scholar 

  10. Redaelli A, Maisano F, Ligorio G, Cattaneo E, Montevecchi FM, Alfieri O (2004) Flow dynamics of the St. Jude Medical Symmetry aortic connector vein graft anastomosis do not contribute to the risk of acute thrombosis. J Thorac Cardiovasc Surg 128(1):117–123

    Article  PubMed  CAS  Google Scholar 

  11. Terry CM, Callahan KS (1996) Protein kinase C regulates cytokine induced tissue factor transcription and procoagulant activity in human endothelial cells. J Lab Clin Med 127:81–93

    Article  PubMed  CAS  Google Scholar 

  12. Bar-El Y, Tio FO, Shofti R (2003) CorLink sutureless aortic anastomotic device: results of an animal study. Surg Res 115(1):127–132

    Article  Google Scholar 

  13. Calafiore AM, Bar-El Y, Vitolla G et al. (2001) Early clinical experience with a new sutureless anastomotic device for proximal anastomosis of the saphenous vein to the aorta. J Thorac Cardiovasc Surg 121:854–858

    Article  PubMed  CAS  Google Scholar 

  14. Riess FC, Helmold H, Hilfer I et al. (2002) Clinical experience with the Cor-Link device for proximal anastomosis of the saphenous vein to the aorta: a clinical, prospective, and randomized study. Heart Surg Forum 5:345–352

    PubMed  Google Scholar 

  15. Gummert JF, Demertzis S, Matschke K, Kappert U, Anssar M, Siclari F, Falk V, Alderman EL, Harringer W (2006) Six month angiographic follow-up of the PAS-Port Clinical Trial. Ann Thorac Surg 81(1):90–96

    Article  PubMed  Google Scholar 

  16. Hamman BL, White CH (2004) A novel device for clampless proximal anastomosis in OPCAB surgery: the IPAD. Heart Surg Forum 7(5):E374–375

    PubMed  Google Scholar 

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© 2007 Steinkopff Verlag Darmstadt

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(2007). Coronary surgery: devices for proximal anastomosis. In: Sutureless Anastomoses. Steinkopff. https://doi.org/10.1007/978-3-7985-1715-8_6

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  • DOI: https://doi.org/10.1007/978-3-7985-1715-8_6

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1714-1

  • Online ISBN: 978-3-7985-1715-8

  • eBook Packages: MedicineMedicine (R0)

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