Sutureless mechanical anastomosis of a saphenous vein graft to a coronary artery with a new connector device

Eckstein, Friedrich S.; Bonilla, Luis F.; Meyer, Beat J.; Berg, Todd; Neidhart, P.; Schmidli, Jürg; Carrel, Thierry

doi:10.1016/s0140-6736(00)04216-1

Cited by 35 publications

(21 citation statements)

References 2 publications

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“…Numerous sutureless techniques have been developed for microsurgical anastomoses (stapling, laser welding, surgical glues). These methods have demonstrated some success but all are associated with difficulties or complications, [10][11][12][13][14][15][16][17][18][19] which impede them to largely diffusion in clinical practice. So, the gold standard in microsurgery still remains sutures with their adverse effects on vessels: vascular tissue trauma, foreign bodies reaction and risk of leakage.…”

Section: Discussionmentioning

confidence: 99%

A new method of sutureless microvascular anastomoses using a thermosensitive poloxamer and cyanoacrylate: An experimental study

Qassemyar

Michel

2015

Microsurgery

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Section: Discussionmentioning

confidence: 99%

A new method of sutureless microvascular anastomoses using a thermosensitive poloxamer and cyanoacrylate: An experimental study

Qassemyar

Michel

2015

Microsurgery

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“…Automated sutureless anastomotic devices have recently been introduced to facilitate the construction of proximal anastomosis to the ascending aorta. 3 Several authors 4,5 have shown that it is possible to use these devices with reasonable efficacy and safety. Long-term patency rates are currently unknown and angiographic follow-up studies need to be completed.…”

Section: Discussionmentioning

confidence: 99%

The Use of an Aortic Connector System in a Patient with Severe Calcified Ascending Aorta

Gummert

Bossert

Mohr

2004

Journal of Cardiac Surgery

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Patients with severe calcified ascending aorta ("porcelain aorta") present a surgical challenge. Off-pump coronary artery bypass grafting (OPCAB), using new automated proximal anastomotic devices, provide a surgical alternative for patients who are not candidates for in situ arterial grafting. We present a 74-year-old male with double-vessel disease and a large calcified aneurysm of the left anterior wall. Left ventricular function was poor with an ejection fraction of 24%. The beating heart technique was used for the distal anastomosis and ventriculoplasty. The proximal anastomosis was constructed with an automated aortic connector system, thereby avoiding clamping of the severely diseased aorta.

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“…1 and 2). This device has been tested clinically with good results (14,15,16). It allows to perform the anastomosis between the aorta and venous bypass without clamping with the potential benefit of avoiding peripheral and central embolisation.…”

Section: Surgical Measures Related To the Bad Aortamentioning

confidence: 99%

“…4). Initial clinical experience from a multicenter prospective study using these filters reports a very low stroke rate (14). Despite its soft design one must not forget that the filter itself might cause embolisation.…”

Section: Surgical Measures Related To the Bad Aortamentioning

confidence: 99%

Stroke Related to Cardiac and/or Aortic Surgery: an Overview

Schepens

2002

Acta Chirurgica Belgica

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In recent years there has been an increasing awareness of atheromatous disease of the aorta and its role has become more evident in relation to neurologic deficits following cardiac and aortic surgery. Specific surgical events can release emboli blocking cerebral arteries and cause catastrophic neurologic sequelae plagueing the patients, their families and the health care system. The extent of the problem is illustrated and the pathophysiologic mechanisms are explained. Special attention is given to the calcified aorta and the preventive actions that can be undertaken by the surgeon to avoid cerebral damage. Aortic surgery cannot be separated from cardiac surgery and therefore specific aortic problems related to cerebral damage are highlighted such as aortic dissection and aortic arch replacement.

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Sutureless mechanical anastomosis of a saphenous vein graft to a coronary artery with a new connector device

Cited by 35 publications

References 2 publications

A new method of sutureless microvascular anastomoses using a thermosensitive poloxamer and cyanoacrylate: An experimental study

A new method of sutureless microvascular anastomoses using a thermosensitive poloxamer and cyanoacrylate: An experimental study

The Use of an Aortic Connector System in a Patient with Severe Calcified Ascending Aorta

Stroke Related to Cardiac and/or Aortic Surgery: an Overview

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