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Ann Thorac Surg 2000;70:681-682
© 2000 The Society of Thoracic Surgeons

How to do it

External shunt for off-pump coronary artery bypass grafting: distal coronary perfusion catheter

Hirokuni Arai, MDa, Tetsuya Yoshida, MDa, Hiroyuki Izumi, MDa, Makoto Sunamori, MDa

a Department of Cardiovascular Surgery, Hokushin General Hospital, Nagano, Japan

Address reprint requests to Dr Arai, Department of Cardiothoracic Surgery, School of Medicine, Tokyo Medical and Dental University, 1–5-45, Yushima, Bunkyo-ku, Tokyo, 113–8519, Japan
e-mail: hiro.tsrg{at}tmd.ac.jp

We invented a simple external shunt catheter for off-pump coronary artery bypass grafting. This catheter maintains coronary perfusion from femoral artery, prevents ischemia, reduces back-bleeding, and acts as a suture guide by preventing accidental missuturing of the posterior coronary wall. The insertion and withdraw technique is easier than intraluminal shunt. This catheter would be a useful tool for myocardial protection during off-pump revascularization.




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