Transaortic injection technique in fluorescence imaging: Novel intraoperative assessment of anastomosis in off-pump coronary artery bypass grafting
| Autor: | Tamotsu Yasuda, Go Watanabe, Shigeyuki Tomita |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Indocyanine Green
Pulmonary and Respiratory Medicine medicine.medical_specialty Fluorescence-lifetime imaging microscopy medicine.medical_treatment Coronary Artery Bypass Off-Pump Anastomosis law.invention Intraoperative Period chemistry.chemical_compound law Internal medicine medicine Cardiopulmonary bypass Humans Aorta Vascular Patency Fluorescent Dyes Off-pump coronary artery bypass business.industry Anastomosis Surgical Graft Occlusion Vascular Surgery Cardiac surgery Radiography Left internal thoracic artery medicine.anatomical_structure Injections Intra-Arterial chemistry Cardiology Cardiology and Cardiovascular Medicine business Indocyanine green Artery |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 130:560-561 |
| ISSN: | 0022-5223 |
| Popis: | Off-pump coronary artery bypass grafting (OPCAB) has been gaining in popularity in recent years. OPCAB might decrease the mortality and morbidity related to cardiopulmonary bypass in cardiac surgery. Although some devices, including heart stabilizers or heart positioners, have evolved in recent years, one of the concerns regarding OPCAB is the quality of anastomoses. Recently, Taggart and colleagues reported that intraoperative fluorescence imaging of coronary grafts is a simple, safe, noninvasive, and reproducible technique in OPCAB, and it can allow surgeons to make immediate surgical revision if necessary. However, some surgeons noticed that it is difficult to assess the quality of an anastomosis with this technique if the native coronary artery is not so narrowed. In that case, the native coronary artery can be seen first, and then the left internal thoracic artery (LITA) is enhanced afterward because dye is injected into the central venous system. In this report we describe a new and simple injection technique using indocyanine green (ICG) and the efficacy of the rapid imaging technique for intraoperative assessment of a LITA graft in OPCAB. |
| Databáze: | OpenAIRE |
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