Coronary surgery: devices for distal anastomoses
In this chapter we review anastomosis devices that allow the construction of end-to-side coronary anastomosis. Several distal devices using different technologies have been developed and are currently under clinical investigation to assess their potential benefits in terms of enabling limited access coronary surgery like totally endoscopic coronary surgery, reducing the technical demand for the anastomosis construction and standardizing anastomosis quality. Some of these devices can be also used with arterial graft, the majority are compatible with beating heart surgery and almost all show good results in terms of early graft patency. All patients receiving distal connectors are under thrombocyte aggregation inhibition with aspirin and/or clopidogrel for at least 1 month after the operation.
KeywordsVein Graft Patency Rate Distal Anastomosis Coronary Surgery Coronary Artery Wall
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