Anastomotic devices for coronary artery bypass grafting: Technological options and potential pitfalls

Gummert, Jan; Opfermann, Ulrich T.; Jacobs, Stephan; Walther, Thomas; Kempfert, Joerg; Mohr, Friedrich W.; Falk, Volkmar

doi:10.1016/j.compbiomed.2006.11.005

Cited by 23 publications

(12 citation statements)

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“…One of the first CABG procedures ever performed was done on the beating heart using an anastomotic device. [ 35 ] In 1960, Robert Goetz used a tantalum Payr’s cannula to construct an end-to-end anastomosis between the right LIMA and the right coronary artery (RCA), demonstrating the feasibility of performing arterial grafting on the beating heart. [ 35 , 65 ]…”

Section: Anastomotic Devicesmentioning

confidence: 99%

“…[ 28 – 34 ] To overcome technical and anatomical limitations in totally endoscopic coronary artery bypass (TECAB), automated anastomotic devices to facilitate the procedure were developed. [ 35 – 37 ] The innovative TECAB approach was performed in a number of cases with promising results. [ 29 ] However, the original enthusiasm for this procedure was followed by a slow adoption rate on a larger scale.…”

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confidence: 99%

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Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature

et al. 2021

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Minimally invasive coronary revascularisation was originally developed in the mid 1990s as minimally invasive direct coronary artery bypass (MIDCAB) grafting is a less invasive approach compared to conventional coronary artery bypass grafting (CABG) to address targets in the left anterior descending coronary artery (LAD). Since then, MIDCAB has evolved with the adoption of a robotic platform and the possibility to perform multivessel bypass procedures. Minimally invasive coronary revascularisation surgery also allows for a combination between the benefits of CABG and percutaneous coronary interventions for non-LAD lesions – a hybrid approach. Hybrid coronary revascularisation results in fewer blood transfusions, shorter hospital stay, decreased ventilation times and patients return to work sooner when compared to conventional CABG. This article reviews the available literature, describes standard approaches and considers topics, such as limited access procedures, indications and patient selection, diagnostics and imaging, techniques, anastomotic devices, hybrid coronary revascularisation and outcome analysis.

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Section: Anastomotic Devicesmentioning

confidence: 99%

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confidence: 99%

Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature

et al. 2021

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“…Stapling devices are currently used routinely in gastrointestinal surgery and have largely replaced the conventional hand-sewn anastomosis. [5][6][7][8] We have used a circular endovascular end-to-end anastomotic (EEA) stapler to perform prosthetic graft-to-graft anastomosis during both first and second-stage elephant trunk procedures (Figure 1). We describe the use of this technique and review outcomes.…”

Section: Perspectivementioning

confidence: 99%

Outcomes after aortic graft-to-graft anastomosis with an automated circular stapler: A novel approach

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Soltesz

et al. 2016

The Journal of Thoracic and Cardiovascular Surgery

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“…[7][8][9] This characteristic is critical in the case of the diseased or calcified aorta because the endothelium is not further damaged. 7,8,10,11 Moreover, APADs have been demonstrated to have optimal results in terms of the patency rate. 12,13 Nonetheless, little recent information is available on the followup of APADs, with the majority of studies focused on immediate postoperative results.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of automated anastomotic devices: A metanalysis

et al. 2019

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Background and AimsWe investigated neurological events, graft patency, major adverse cardiovascular events (MACEs), and mortality at 1 year following coronary artery bypass grafting (CABG) surgery using automated proximal anastomotic devices (APADs) and compared the overall rates with the current literature.MethodsA systematic review of all available reports of APADs use in the literature was conducted. Cumulative incidence and 95% confidence interval (CI) were the main statistical indexes. Nine observational studies encompassing a total of 718 patients were included at the end of the selection process.ResultsThe cumulative event rate of neurological complications was 4.8% (lower‐upper limits: 2.8‐8.0, P < .001; I2 = 72.907%, P = .002; Egger's test: intercept = –2.47, P = 0.16; Begg and Mazumdar test: τ = −0.20, p = 0.57). Graft patency was 90.5% (80.4 to 95.7, P < .001; I2 = 76.823%, P = .005; Egger's test: intercept = –3.04, P = .10; Begg and Mazumdar test: τ = −0.67, P = .17). Furthermore, the overall incidence of MACEs was 3.7% (1.3‐10.4, P < .001; I2 = 51.556%, P = .103; Egger's test: intercept = –1.98, P = < .11; Begg and Mazumdar test: τ = −0.67, P = .17). Finally, mortality within 1 year was 5% (3.5‐7, P < .001; I2 = 29.675%, P = .202; Egger's test: intercept = –0.91, P = .62; Begg and Mazumdar test: τ = −0.04, P = .88).ConclusionsAPADs do not seem to be correlated with a reduction of either neurological events or mortality. By contrast, these tools showed satisfactory one‐year graft patency and a low incidence of MACEs. Further research on this topic is warranted.

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Anastomotic devices for coronary artery bypass grafting: Technological options and potential pitfalls

Cited by 23 publications

References 1 publication

Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature

Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature

Outcomes after aortic graft-to-graft anastomosis with an automated circular stapler: A novel approach

Clinical outcomes of automated anastomotic devices: A metanalysis

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