Deep Pericardial Traction Suture versus Vacuum-Assisted Apical Suction to Expose the Posterior Wall of the Heart in Off-Pump Coronary Artery Bypass: A Prospective, Randomized Study

Abicht, Jan‐Michael; Beiras-Fernández, Andrés; Bengel, Dominik; Vicol, Calin

doi:10.1532/hsf98.20121028

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Local stabilization of cardiac wall motion is critically important for achieving accurate anastomoses [1]. The heart can be appropriately positioned by pulling on multiple or single DPS, placed in the posterior pericardium [1,2]. During DPS stitching, great caution should be taken to avoid serious bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Intrathoracic hemorrhage by deep pericardial sutures as detected by transesophageal echocardiography: report of two cases

et al. 2019

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Background: The use of deep pericardial suture (DPS) is a widely used technique to lift the heart and expose the targeted vessels during off-pump coronary artery bypass grafting (OPCAB). Several reports alert massive bleeding due to DPS, especially for the patients with perioperative administration of tissue plasminogen activator, low molecular weight heparin, and administration of double antiplatelet agents. Case presentation: We report two cases of bleeding followed by huge hematoma formation in the left thoracic cavity caused by DPS during OPCAB. In one, bleeding was caused by damage to the left lower pulmonary vein and damage to the diaphragmatic artery in the other. Transesophageal echocardiography (TEE) is a potent tool for detecting complications and identifying the location of bleeding. Conclusions: TEE is useful for finding hemorrhagic complications and for determining the points of bleeding based on the location of the hematoma.

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Section: Discussionmentioning

confidence: 99%

“…The use of deep pericardial suture (DPS) is a common technique to lift the heart and expose the targeted vessels during OPCAB [1]. This procedure holds the advantage of not requiring special devices and incurring extra costs [2], whereas there have been several reports on complications of bleeding due to DPS [3][4][5][6].…”

Section: Hemorrhagic Complicationmentioning

confidence: 99%