Ninety-degree anterior cardiac displacement in off-pump coronary artery bypass grafting: the Starfish cardiac positioner preserves stroke volume and arterial pressure

Gründeman, Paul F.; Verlaan, Cees W.J.; Boven, Wim Jan van; Borst, Cornelius

doi:10.1016/s0003-4975(03)01363-8

Cited by 31 publications

(15 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Grundeman et al proposed that The Starfish Cardiac positioners preserves stroke volume and Arterial pressure hence can minimize haemodynamic instabily during Ninety degree anterior cardiac displacement in off-pump coronary artery bypass grafting 8 .…”

Section: Discussionmentioning

confidence: 99%

Emergency conversion in planned off-pump coronary artery bypass grafting: Outcome of semi-elective and delayed conversions

Jadhav

Chikkatur

Mishra

et al. 2007

Indian J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background: Emergency conversion to cardiopulmonary bypass in off-pump coronary artery bypass grafting (OPCAB) is recognized to increase operative mortality and morbidity. How ever less has been talked about the time of conversion and on pump beating heart revascularizations .Methods: In this study out of 380 planned off-pump coronary artery bypass procedures done between August 2002 to July 2006, 12 patients required emergency conversion, of which three patients were after haemodynamic collapse, and nine patients were semi elective conversions before haemodynamic collapse.Results: The operative mortality in the conversion group was 25%, as compaired to 1.4% in the non conversion group. We analyzed that the time of conversion plays an important role in the overall outcome Though the operative mortality was 25% in the conversion group the operative mortality in the semi-elective conversion group was 0%. The requirement of inotropes, requirement of intra aortic balloon support, and postoperative multi organ dysfunction was more in the delayed conversion compaired to the semi-elective conversion group. The criteria for semi-elective conversion were unexplained Hypotension requiring inotropes, raised left ventricular end diastolic pressure (LVEDP), decreased urine output (less than 1cc/ kg) unexplained tachycardia, unexplained arrhythmias and blood loss requiring more than two blood transfusions.Conclusions: We conclude that delayed conversion is associated with poor surgical outcome however semi-elective conversion before haemodynamic collapse with on pump beating heart bypass revascularisaion is a safe and viable option. (Ind J Thorac Cardiovasc Surg, 2007; 23: 184-187)

show abstract

Section: Discussionmentioning

confidence: 99%

Emergency conversion in planned off-pump coronary artery bypass grafting: Outcome of semi-elective and delayed conversions

Jadhav

Chikkatur

Mishra

et al. 2007

Indian J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…This is achieved by maintaining its overall geometry thus providing better exposure and hemodynamics than the deep pericardial suture technique [3,9,10].…”

Section: Discussionmentioning

confidence: 99%

Apical suction leads to severe ischemia of the ventricular apex☆

Teijeira-Fernández

García-Bengochea

Álvarez

et al. 2006

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Pigs of 50-100 kg were anaesthetized and ports (5 or 6) for the instruments, camera and minitransducer were placed on the left and right side of the thorax. Adaptations to the Octopus cardiac stabilizer (Borst et al 1996;Gründeman et al 2003) and Starfish cardiac positioner (Gründeman et al, 2003;Gründeman et al, 2004). were made for endoscopic use.…”

Section: Porcine Off-pump Tecab Modelmentioning

confidence: 99%

Robot-Assisted Epicardial Ultrasound for Coronary Artery Localization and Anastomosis Quality Assessment in Totally Endoscopic Coronary Bypass Surgery

Budde¹,

Borst²,

Bakker³

et al. 2008

Medical Robotics

Self Cite

View full text Add to dashboard Cite

Ninety-degree anterior cardiac displacement in off-pump coronary artery bypass grafting: the Starfish cardiac positioner preserves stroke volume and arterial pressure

Cited by 31 publications

References 11 publications

Emergency conversion in planned off-pump coronary artery bypass grafting: Outcome of semi-elective and delayed conversions

Emergency conversion in planned off-pump coronary artery bypass grafting: Outcome of semi-elective and delayed conversions

Apical suction leads to severe ischemia of the ventricular apex☆

Robot-Assisted Epicardial Ultrasound for Coronary Artery Localization and Anastomosis Quality Assessment in Totally Endoscopic Coronary Bypass Surgery

Contact Info

Product

Resources

About