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Correspondence

Intraluminal Shunts at Off-Pump Surgery: Friend or Foe?

Escorts Heart Institute and Research Centre, Okhla Road, New Delhi, 110025 India

(Email: spcollison@gmail.com).

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Hangler and colleagues [1], in which they have shown severe endothelial damage with the use of an intraluminal shunt (ILS) compared with snaring; hence concluding that shunts should be used selectively.

This study raises three interesting issues: (1) What is the appropriate size of ILS that should be used? In a previous publication, the same group [2], using a similar human model presented similar results of extensive endothelial denudation with exposure of subendothelial tissue when an ILS was used. This study was criticized [3] because they selected . . . [Full Text of this Article]