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Ann Thorac Surg 1994;57:1349-1350
© 1994 The Society of Thoracic Surgeons
Division of Cardiothoracic Surgery, Department of Surgery, Temple University and Conemaugh Memorial Hospitat, Johnstown, Pennsylvania, USA
Accepted for publication January 13, 1994.
* Address reprint requests to Dr Kolff, Department of Surgery, Conemaugh Memorial Hospital, 1086 Franklin St, Johnstown, PA 15905.
Fluoroscopy, echocardiography, blind digital approach, and direct visual insertion have been used for retrograde cannulation of the coronary sinus. We cannulate the coronary sinus by transillumination using a standard flexible retroplegia cannuia with a reusable fiberoptic stylet designed by our open heart program. An attachable light source illuminates the tip, which is guided into the coronary sinus ostium. We have used the technique in 16 patients who could not be cannulated with the blind digital method.
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