Is the GraftConnector a valid alternative to running suture in end-to-side coronary arteries anastomoses? Piergiorgio Tozzi, MD, Jan Otto Solem, MD,

Slides:

Advertisements

Similar presentations

Epicardial Ultrasonography: A Potential Method for Intraoperative Quality Assessment of Coronary Bypass Anastomoses? Per Kristian Hol, MD, Kai Andersen,

Advertisements

Intraoperative color Doppler ultrasound assessment of LIMA-to-LAD anastomoses in off- pump coronary artery bypass grafting Rune Haaverstad, MD, PhD, Nicola.

Beating heart operations including hybrid revascularization: initial experiences Friedrich-Christian Riess, MD, Joachim Schofer, MD, Peter Kremer, MD,

Early and follow-up angiography in minimally invasive coronary bypass without mechanical stabilization Inderjit S Gill, Lyall A Higginson, Gyaandeo S.

Epicardial ultrasound in off-pump coronary artery bypass grafting: potential aid in intraoperative coronary diagnostics Patrick Klein, MSc, Rudy Meijer,

David Stecher, MD, Frebus J. van Slochteren, MSc, Imo E

Christof Schmid, MD, Tonny D

An experimental model of saphenous vein-to-coronary artery anastomosis with the St. Jude medical stainless steel connector Hartzell V Schaff, MD, Kenton.

Off-pump coronary operation at the Favaloro Foundation: results in 264 patients Ernesto E Weinschelbaum, MD, Alejandro Machain, MD, Héctor A Raffaelli,

Hartmuth B Bittner, MD The Annals of Thoracic Surgery

Ventricular septal rupture caused by myocardial bridging

Failure of internal thoracic artery grafts: conclusions from coronary angiography mid- term follow-up Eric Bezon, MD, Jean N Choplain, MD, Yasser A Maguid,

Robotic Coronary Artery Bypass Grafting

Minimally invasive surgical treatment of coronary artery multivessel disease Vassilios Gulielmos, MD, Michael Knaut, MD, Romuald Cichon, MD, Michael Brandt,

Assessment of patented coronary end-to-side anastomotic devices using micromechanical bonding Jules S Scheltes, MSc, Martijn Heikens, BSc, Peter V Pistecky,

Patrick H McNulty, MD, Ian C Gilchrist, MD

Toshihiro Fukui, MD, Shuichiro Takanashi, MD, Yasuyuki Hosoda, MD

Avoidable Errors in Cardiac Surgery: Anastomosis of the Left Internal Mammary Artery to a Vein Deepak Banerjee, MD, Daniel Fusco, MD, Jeffrey Green,

Novel Anastomotic Device for Distal Coronary Anastomosis: Preclinical Results From Swine Off-Pump Coronary Artery Bypass Model Yoshifumi Itoda, MD, PhD,

Transapical Aortic Valve Implantation Without Angiography: Proof of Concept Enrico Ferrari, MD, Christopher Sulzer, MD, Carlo Marcucci, MD, Elena Rizzo,

Redo Robotic Endoscopic Beating Heart Coronary Bypass (TECAB) After Previous TECAB Sarah Nisivaco, BS, Mackenzie McCrorey, PA-C, Dorothy Krienbring,

Does arterial revascularization decrease the risk of infarction after coronary artery bypass grafting? Paul T Sergeant, MD, PhD, Eugene H Blackstone,

Early Clinical Results With a Magnetic Connector for Distal Coronary Artery Anastomoses Calin Vicol, MD, Sandra Eifert, MD, Martin Oberhoffer, MD, Peter.

Theoretical analysis of right gastroepiploic artery grafting to right coronary artery Kenzo Yasuura, MD, Yasushi Takagi, MD, Yasuhisa Ohara, MD, Yoshiyuki.

Surgical myocardial revascularization without cardiopulmonary bypass

The coronary artery bypass conduit: II

Technical aspects of double-skeletonized internal mammary artery grafting Jacob Gurevitch, MD, Amir Kramer, MD, Chaim Locker, MD, Itzhak Shapira, MD,

Temporary Luminal Arteriotomy Seal for Bypass Grafting

Sutureless coronary artery bypass with biologic glued anastomoses: Preliminary in vivo and in vitro results Steven R. Gundry, MD, Kirby Black, PhD, Hironori.

Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy

Intraoperative coronary artery imaging with infrared camera in off-pump CABG Hisayoshi Suma, MD, Tadashi Isomura, MD, Taiko Horii, MD, Toru Sato, MD

Pulmonary Artery Reconstruction With Pulmonary Vein Conduit for Lung Cancer: Medium-Term Results Antonio D'Andrilli, MD, Giulio Maurizi, MD, Claudio.

Intraoperative echocardiographic imaging of coronary arteries and graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass

Application of cabrol technique to off-pump coronary artery bypass grafting using radial artery Won-Min Jo, MD, Chan-Young Na, MD, PhD, Man-Jong Baek,

Intraoperative evaluation of coronary anastomosis by transit-time ultrasonic flow measurement Tetsuro Morota, MD, PhD, Francis G Duhaylongsod, MD, William.

Hubert Stein, BS, BME, John Michael Smith, MD, John R

Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting James A Magovern, MD, Daniel H Benckart, MD, Rodney.

Preliminary experience with a novel intraoperative fluorescence imaging technique to evaluate the patency of bypass grafts in total arterial revascularization

Epicardial Ultrasonography: A Potential Method for Intraoperative Quality Assessment of Coronary Bypass Anastomoses? Per Kristian Hol, MD, Kai Andersen,

Evaluation of Robotic Coronary Surgery With Intraoperative Graft Angiography and Postoperative Multislice Computed Tomography Thomas Schachner, MD, Gudrun.

Pain pattern and left internal mammary artery grafting

Temporary luminal arteriotomy seal: II

Matadial Ojha, PhD, Richard L Leask, K

Robotic Total Arterial Off-Pump Coronary Artery Bypass Grafting: Seven-Year Single- Center Experience and Long-Term Follow-Up of Graft Patency Ming Yang,

Ventriculocoronary artery bypass results using a mesh-tipped device in a porcine model Robert W Emery, MD, Frazier Eales, MD, Clifford H Van Meter, MD,

Initial experience with sutureless proximal anastomoses performed with a mechanical connector leading to clampless off-pump coronary artery bypass surgery

Effect of distal graft anastomosis site on retrograde perfusion and flow patterns of native coronary vasculature Lin-rui Guo, MD, David A Steinman, PhD,

Ricardo P. J. Budde, PhD, Patricia F. A

M.Keith Odayan, Hugh S Paterson The Annals of Thoracic Surgery

Massimo Bonacchi, MD, Edvin Prifti, MD, PhD, Gabriele Giunti, MD

Kagami Miyaji, MD, Randall K Wolf, MD, John B Flege, MD

Lethal Postoperative Coronary Artery Spasm

Minimally invasive direct coronary artery bypass in a cardiac transplant recipient with allograft vasculopathy Ivan Aleksic, MD, PhD, Jarowit A Piotrowski,

A simplified method of stabilization and hemostasis for minimally invasive coronary artery bypass Xavier M Mueller, MD, Hendrik T Tevaearai, MD, Ludwig.

Computer-assisted endoscopic coronary artery bypass anastomoses: a chronic animal study Edward R Stephenson, MD, Christopher T Ducko, MD, Sachin Sankholkar,

Reoperative Coronary Artery Bypass Surgery: Avoiding Repeat Median Sternotomy Kenji Takahashi, MD, Susumu Takeuchi, MD, Kazuo Ito, MD, Mari Chiyoya, MD,

Sérgio A de Oliveira, MD The Annals of Thoracic Surgery

How to Tailor A “π” Graft for Complex Myocardial Revascularization: A Variant of the Mammary Loop Technique Lucian Stoica, MD, PhD, Sidney Chocron, MD,

Pediatric Coronary Artery Bypass After Arterial Switch Operation: Noninvasive Evaluation With ECG-Gated 64-Slice CT in Routine Practice Monia Jemmali,

Intermediate term follow-up of the end-to-side aortic anastomosis for coarctation of the aorta Adel K Younoszai, MD, Vadiyala Mohan Reddy, MD, Frank.

Five Hundred Cases of Robotic Totally Endoscopic Coronary Artery Bypass Grafting: Predictors of Success and Safety Nikolaos Bonaros, MD, Thomas Schachner,

Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD

Permanent wall stretching in porcine coronary and internal mammary arteries Carolien J van Andel, MS, PhD, Peter V Pistecky, MS, Paul F Gründeman, MD,

Robert R Lazzara, MD, Francis E Kidwell, BS

Stunned myocardium after off-pump coronary artery bypass grafting

Catheter-Based Endoscopic Bypass Grafting: An Experimental Feasibility Study Stephan Jacobs, MD, David Holzhey, MD, Hubert Stein, BS, BME, Friedrich W.

Temporary luminal arteriotomy seal: III

Pitfalls and key lessons with the symmetry proximal anastomotic device in coronary artery bypass surgery Thierry P Carrel, MD, Friedrich S Eckstein,

Results of the Prospective Multicenter Trial of Robotically Assisted Totally Endoscopic Coronary Artery Bypass Grafting Michael Argenziano, MD, Marc.

Huseyin Okutan, MD The Annals of Thoracic Surgery

Presentation transcript:

Is the GraftConnector a valid alternative to running suture in end-to-side coronary arteries anastomoses? Piergiorgio Tozzi, MD, Jan Otto Solem, MD, D Boumzebra, MD, Antonio Mucciolo, Claude Y Genton, MD, Pascal Chaubert, MD, Ludwig Karl von Segesser, MD The Annals of Thoracic Surgery Volume 72, Issue 3, Pages S999-S1003 (September 2001) DOI: 10.1016/S0003-4975(01)02953-8

Fig 1 1. The conduit (internal mammary artery) is connected inside the sidearm of the GraftConnector (GC) before conducting the anastomosis. The sleeve being inserted into the artery is in the crimped position. 2. An arteriotomy is made and the tip of the GC is inserted into the coronary artery. 3. The main body of the GC is positioned in the coronary artery. 4. By pulling the cap 3-mm out, the expansion of the main body is activated. The anastomosis is now completed and the handle is retrieved. The Annals of Thoracic Surgery 2001 72, S999-S1003DOI: (10.1016/S0003-4975(01)02953-8)

Fig 2 Representation of fluoroscopic images of end-to-side anastomosis done with the GraftConnector between right internal mammalian artery (RIMA) and left anterior descending artery (LAD). a = RIMA’s maximal diameter; b = smallest GraftConnector’s diameter; c = distal LAD’s maximal diameter (usually 1 cm distal to the end of GraftConnector). The large arrow shows the junction between the device and the native vessel (transition area). Dashed lines represent histologic section plans. The Annals of Thoracic Surgery 2001 72, S999-S1003DOI: (10.1016/S0003-4975(01)02953-8)

Fig 3 Postoperative fluoroscopy control of the coronary artery bypass grafting performed with the GraftConnector. RIMA = right internal mammary artery; LAD = left anterior descending coronary artery; a, b, and c represent the sites where measurements were taken with Image-Pro Plus 4 in order to calculate anastomotic diameter compared with distal LAD. The Annals of Thoracic Surgery 2001 72, S999-S1003DOI: (10.1016/S0003-4975(01)02953-8)

Fig 4 Cross-section of left anterior descending coronary artery (LAD) at the anastomotic site. The anastomosis was carried out with the GraftConnector. The yellow outline shows the device cross-sectional area, which is considered as the reference area, assuming that this was the native artery cross-sectional area at the implantation (hypothetical native LAD cross-sectional area that corresponds to real native LAD cross-sectional area only if the GraftConnector is correctly sized). The green outline shows the luminal width after 6 months. The Annals of Thoracic Surgery 2001 72, S999-S1003DOI: (10.1016/S0003-4975(01)02953-8)

Fig 5 Specimen has been cut axially to better identify the transition area (Fig 2). The GraftConnector is oversized compared with the left anterior descending coronary artery and the difference between the two diameters has been filled out with intima (green arrow). The Annals of Thoracic Surgery 2001 72, S999-S1003DOI: (10.1016/S0003-4975(01)02953-8)