HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Lishan Aklog Brian J. deGuzman Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Aklog, L. Articles by deGuzman, B. J. Search for Related Content PubMed PubMed Citation Articles by Aklog, L. Articles by deGuzman, B. J. Related Collections Cardiac - physiology Coronary disease Myocardial protection Related Article

---

Original Articles: Adult Cardiac

Invited Commentary

Heart and Lung Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Rd, Phoenix, AZ 85254

(Email: lishan.aklog@chw.edu).

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

Good visualization of the anastomotic site is critical to the performance of a technically precise anastomosis on a beating heart. Off-pump coronary artery bypass (OPCAB) surgeons have several options to achieve this:

1 Proximal and distal snares – Unless the arteriotomy is directly over a perforating branch, this will usually provide good visualization. The disadvantages are acute ischemia and risk of coronary artery trauma.

2 Proximal snare only – Collateral flow from the distal coronary bed can interfere with visualization and require increased flows on the CO₂ mister-blower, which may cause endothelial trauma. A coronary steal effect may lead to increased distal ischemia. The potential . . . [Full Text of this Article]