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Ann Thorac Surg 1999;67:594
© 1999 The Society of Thoracic Surgeons

Correspondence

Bulldog with spikes: clamp for coronary artery operations

Ashok Bandyopadhyay, MCha, Lalit Kapoor, MCha, Mohan Gan D, MCha

a B M Birla Heart Research Centre, 1/1 National Library Ave, Calcutta 700 027 India

e-mail: abandyopadhyay{at}htomail.com

We read the article by Walia and Kole [1] and were happy to see another group use our technique with success.

We have been routinely using a similar clamp now for the past 7 years for up to four coronary artery bypass graft procedures per day (Fig 1).



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  		Fig 1. Our "bulldog with spikes."

 
We thank Walia and Kole for highlighting this technique and corroborate that this device provides an excellent dry field. Our group uses the intermittent fibrillatory arrest technique for coronary artery bypass grafting in which achieving a dry field is an even more difficult task. That is why we devised this instrument 8 years ago.

In addition, we would like to highlight the problem of bleeding from the puncture sites, which often stops on its own, and in the worst situation needs just a simple suture with a "half-length" of fine Prolene suture left over from the anastomosis.

Acknowledgments

We thank Dr D. P. Shetty, former Chief Cardiac Surgeon, B M Birla Heart Research Centre, Calcutta, India.

References

  1. Walia A.S., Kole S.D. Clamp for coronary artery operations. Ann Thorac Surg 1998;65:1475-1476.[Abstract/Free Full Text]

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Dilip Oswal, Shrikant D. Kole, and Abhay Singh Walia
Ann. Thorac. Surg. 1999 67: 594-595. [Extract] [Full Text] [PDF]



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Bulldog with spikes: clamp for coronary artery operations
Ann. Thorac. Surg., October 1, 1999; 68(4): 1443 - 1443.
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