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

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

1 Sutureless coronary artery bypass with biologic glued anastomoses: Preliminary in vivo and in vitro results  Steven R. Gundry, MD, Kirby Black, PhD, Hironori Izutani, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 120, Issue 3, Pages (September 2000) DOI: /mtc Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 Artist's conception of the anastomosis created with biologic glue. 1, The ITA is placed parallel to the LAD coronary artery. Incisions made on the underside of the ITA and the exposed surface of the LAD. 2, An angioplasty-type balloon catheter is advanced through the arteriotomies and inflated. A second catheter is advanced up the ITA and inflated to preserve luminal integrity. BioGlue adhesive is dispensed over the anastomosis and allowed to set for 2 minutes. 3, Catheters are withdrawn, distal ITA flow is observed, and the tip of the ITA is clipped to convert the side-to-side anastomosis to an end-to-side anastomosis. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Coronary angiogram of left ITA–LAD coronary artery anastomosis taken 1 year after the operation. The anastomosis was performed with the use of BioGlue adhesive and balloon catheters as described in the text. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Microscopic section at the junction of the ITA and LAD coronary artery at site of BioGlue application. Note the lack of inflammatory tissue and pieces of intact BioGlue adhesive outside the anastomosis. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

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