| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1997;63:751-755
© 1997 The Society of Thoracic Surgeons
Cardiovascular Division, Institut de Recherches Servier, Suresnes; and Department of Cardiovascular Surgery, Hôpital Lariboisière, Paris, France
Accepted for publication October 18, 1996.
Background. Minimally invasive coronary artery bypass grafting aims to achieve less patient discomfort and a more rapid return to active life. Most approaches have used maintenance of the beating heart and control of the target coronary vessel by different hemostatic devices. The purpose of this study was to assess the effects of commonly used coronary artery snares and of the occlusion of the coronary vessel necessary for minimally invasive coronary artery operations on coronary endothelial function.
Methods. Coronary artery bypass grafting with an internal mammary artery to left anterior descending artery anastomosis was performed in a porcine model with a 30-minute period of ischemia and a subsequent 30-minute period of reperfusion, using snares on either side of the anastomotic site to achieve hemostasis of the operative field. Endothelium-dependent relaxation to serotonin was studied in conventional organ chamber experiments with rings taken from the left anterior descending artery at the proximal snare site, the anastomotic site in the segment that underwent the ischemia-reperfusion cycle, the distal snare site, and at a control segment. Responses to potassium chloride and bradykinin were also compared.
Results. There were no significant differences in endothelium-dependent relaxation values among the four sites studied.
Conclusions. These results confirm that snaring of the coronary artery for achieving hemostasis at the anastomotic site when performing coronary artery bypass grafting on the beating heart does not cause endothelial dysfunction.
Related Article
Ann. Thorac. Surg. 1997 63: 755.
This article has been cited by other articles:
|
|
 |
|
  H. Hangler, L. Mueller, E. Ruttmann, H. Antretter, and K. Pfaller Shunt or Snare: Coronary Endothelial Damage due to Hemostatic Devices for Beating Heart Coronary Surgery Ann. Thorac. Surg., December 1, 2008; 86(6): 1873 - 1877. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. P. Collison, A. Agarwal, and N. Trehan Controversies in the use of intraluminal shunts during off-pump coronary artery bypass grafting surgery. Ann. Thorac. Surg., October 1, 2006; 82(4): 1559 - 1566. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Wippermann, J. M. Albes, R. Bruhin, M. Hartrumpf, R. Vollandt, H. Kosmehl, and T. Wahlers Chronic ultrastructural effects of temporary intraluminal shunts in a porcine off-pump model Ann. Thorac. Surg., August 1, 2004; 78(2): 543 - 548. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. B. Hangler, K. Pfaller, E. Ruttmann, D. Hoefer, T. Schachner, G. Laufer, and H. Antretter Effects of intracoronary shunts on coronary endothelial coating in the human beating heart Ann. Thorac. Surg., March 1, 2004; 77(3): 776 - 780. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Gerosa, T. Bottio, M. Valente, G. Thiene, and D. Casarotto Intracoronary artery shunt: An assessment of possible coronary artery wall damage J. Thorac. Cardiovasc. Surg., May 1, 2003; 125(5): 1160 - 1162. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Hsi, H. Cuenoud, B. R. Soller, H. Kim, J. Favreau, T. J. Vander Salm, and J. M. Moran Experimental Coronary Artery Occlusion: Relevance to Off-Pump Cardiac Surgery Asian Cardiovascular and Thoracic Annals, December 1, 2002; 10(4): 293 - 297. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F.-C. Riess, R. Bader, P. Kremer, C. Kuhn, J. Kormann, D. Mathey, S. Moshar, T. Tuebler, N. Bleese, and J. Schofer Coronary hybrid revascularization from January 1997 to January 2001: a clinical follow-up Ann. Thorac. Surg., June 1, 2002; 73(6): 1849 - 1855. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. H. Diodato, J. E. Scarborough, P. W. Domkowski, M. L. Smith, S. S. Biswas, T. Schwartz, and K. P. Landolfo Robotically assisted versus conventional freehand technique during beating heart anastomoses of left internal thoracic artery to left anterior descending artery Ann. Thorac. Surg., March 1, 2002; 73(3): 825 - 829. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Demaria, S. Fortier, and L. P. Perrault Risk of coronary artery occlusion with snares during OPCAB. Ann. Thorac. Surg., January 1, 2002; 73(1): 344 - 345. [Full Text] [PDF]
|
|
|
|
 |
|
 R. G. Demaria, S. Fortier, and L. P. Perrault Coronary endothelial damage during off-pump CABG related to coronary-clamping and gas insufflation Eur J Cardiothorac Surg, December 1, 2001; 20(6): 1270 - 1271. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Capdeville and J. H. Lee Off-Pump Coronary Artery Bypass Surgery: Revival of an Old Technique Seminars in Cardiothoracic and Vascular Anesthesia, November 1, 2001; 5(4): 345 - 361. [Abstract] [PDF]
|
|
|
|
|
|
R. G. Demaria, S. Fortier, M. Carrier, and L. P. Perrault Early multifocal stenosis after coronary artery snaring during off-pump coronary artery bypass in a patient with diabetes J. Thorac. Cardiovasc. Surg., November 1, 2001; 122(5): 1044 - 1045. [Full Text] [PDF]
|
|
|
|
|
|
L. P. Perrault, C. Nickner, N. Desjardins, and M. Carrier Effects on coronary endothelial function of the Cohn stabilizer for beating heart bypass operations Ann. Thorac. Surg., September 1, 2000; 70(3): 1111 - 1114. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Cartier From Idea to Operating Room: Surgical Innovation, Clinical Application, and Outcome Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 2000; 4(2): 103 - 109. [PDF]
|
|
|
|
|
|
I. S. Gill, L. A. Higginson, G. S. Maharajh, and W. J. Keon Early and follow-up angiography in minimally invasive coronary bypass without mechanical stabilization Ann. Thorac. Surg., January 1, 2000; 69(1): 56 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. L. Stanbridge and L. K. Hadjinikolaou Technical adjuncts in beating heart surgery Comparison of MIDCAB to off-pump sternotomy: a meta-analysis Eur J Cardiothorac Surg, November 1, 1999; 16(Supplement_2): S24 - S33. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Yavuz, M. A. Celkan, C. Eris, M. Mavi, T. Turk, O. Tiryakioglu, Y. Ata, V. Koca, and I. A. Ozdemir Minimally Invasive Coronary Artery Bypass: Experience in 114 Patients Asian Cardiovascular and Thoracic Annals, September 1, 1999; 7(3): 177 - 181. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Chavanon, L. P. Perrault, P. Menasche, M. Carrier, and P. M. Vanhoutte Endothelial Effects of Hemostatic Devices for Continuous Cardioplegia or Minimally Invasive Operations Ann. Thorac. Surg., September 1, 1999; 68(3): 1118 - 1120. [Full Text] [PDF]
|
|
|
|
|
|
K. Tanemoto, K. Kuroki, Y. Kanaoka, and T. Murakami Septal branch right ventricular fistula: a complication in coronary artery snaring Ann. Thorac. Surg., July 1, 1999; 68(1): 246 - 248. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. P. Perrault, P. Menasche, and P. M. Vanhoutte High-flow gas insufflation to facilitate MIDCAB Ann. Thorac. Surg., March 1, 1999; 67(3): 893 - 893. [Full Text] [PDF]
|
|
|
|
|
|
M. B. Izzat, A. P.C. Yim, and M. H. El-Zufari Snaring of a coronary artery causing distal atheroma embolization Ann. Thorac. Surg., November 1, 1998; 66(5): 1806 - 1808. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F.-C. Riess, J. Schofer, P. Kremer, A. G. Riess, H. Bergmann, S. Moshar, D. Mathey, and N. Bleese Beating heart operations including hybrid revascularization: initial experiences Ann. Thorac. Surg., September 1, 1998; 66(3): 1076 - 1081. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Jaber, P. Spence, and S. Pagni Reply Ann. Thorac. Surg., May 1, 1998; 65(5): 1518 - 1518. [Full Text] [PDF]
|
|
|
|
|
|
A. G. Jayakrishnan, T. Rameshwara, G. A. Pillai, H. D. Waikar, V. L. Pathi, G. A. Berg, and K. J. D. MacArthur Emergency Coronary Bypass on a Beating Heart Ann. Thorac. Surg., August 1, 1997; 64(2): 591 - 592. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
