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Right arrow Coronary disease

Ann Thorac Surg 2005;80:1137-1139
© 2005 The Society of Thoracic Surgeons

How to do it

Safe Coronary Artery Occlusion With a New Tourniquet in Off-Pump Bypass Grafting

Hirokuni Arai, MD, PhD * , Keiji Oi, MD, Hiroyuki Tanaka, MD, PhD, Noriyuki Tabuchi, MD, PhD, Makoto Sunamori, MD, PhD

Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan

Accepted for publication March 25, 2004.

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

Coronary artery occlusion during off-pump coronary artery bypass grafting may lead to mechanical trauma of the arterial wall. My colleagues and I describe a safe coronary artery occlusion technique in off-pump bypass grafting that uses a new spring-equipped tourniquet, which enables precise adjustment of the least force necessary to occlude the coronary flow. This prevents snare-induced vessel wall damage.




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 Ann. Thorac. Surg.Home page
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]


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