Totally endoscopic myocardial revascularization: an experimental study
| Autor: | Igor V Zhuravlev, Konstantine S Deyneka, Semen D Klimovskiy, Gennady P Vlassov, Alexander S Ermolov, Nikolay O Travine, Maxim B Belinskiy |
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| Rok vydání: | 1999 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Anastomosis Right gastroepiploic artery medicine.artery medicine Humans Derivation Coronary Artery Bypass Endoscopes medicine.diagnostic_test business.industry Anastomosis Surgical Endoscopy Arteries Surgical Instruments Surgery Diaphragm (structural system) medicine.anatomical_structure Right coronary artery Abdomen Feasibility Studies Radiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | The Annals of thoracic surgery. 68(4) |
| ISSN: | 0003-4975 |
| Popis: | Background . The purpose of this study was to examine the feasibility of performing totally endoscopic myocardial revascularization through the abdominal cavity. Methods and Results . The right gastroepiploic artery was harvested endoscopically through three troacars in 46 human cadavers. Then, a 5-cm hole was made in the diaphragm to expose the right coronary artery. With the help of two vacuum pods, we fixed a site of the right coronary artery and made a right gastroepiploic artery-right coronary artery anastomosis. In 20 cases, continuous Prolene suture was used, and in 26 experiments, we applied a sutureless technique. Twenty-three anastomosis were patent. Conclusions . Despite the low patency rate, the transabdominal approach of totally endoscopic bypass grafting is promising and demands further investigation. |
| Databáze: | OpenAIRE |
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