Temporary Coronary Artery Perfusion Catheter During Minimally Invasive Coronary Surgery

Autor: Alan S. Coulson, Phillip K Spohn, Judy A. Quarnstrom, Shahroukh A. Bakhshay
Rok vydání: 1998
Předmět:
Adult
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Myocardial Ischemia
Ischemia
Coronary Angiography
Critical Care and Intensive Care Medicine
Catheterization
Electrocardiography
Coronary artery bypass surgery
Coronary circulation
Postoperative Complications
Coronary Circulation
Internal medicine
medicine
Humans
Minimally Invasive Surgical Procedures
Derivation
Intraoperative Complications
Internal Mammary-Coronary Artery Anastomosis
Vascular Patency
Aged
Retrospective Studies
Aged
80 and over

medicine.diagnostic_test
business.industry
Suture Techniques
Arrhythmias
Cardiac

Middle Aged
medicine.disease
Coronary Vessels
Cannula
Surgery
Survival Rate
medicine.anatomical_structure
Evaluation Studies as Topic
Cardiology
Female
Hypotension
Cardiology and Cardiovascular Medicine
business
Perfusion
Follow-Up Studies
Artery
Zdroj: Chest. 113:514-520
ISSN: 0012-3692
DOI: 10.1378/chest.113.2.514
Popis: Study objective The purpose of this study was to investigate the use of an intracoronary cannula during minimally invasive direct coronary artery bypass (MIDCAB) surgery. Design Evaluation of the coronary perfusion catheter was conducted during MIDCAB surgery to determine if there was any trauma to the coronary artery. The study was retrospective with 45% follow-up arteriograms. Setting A community hospital provided the setting for the study. Twenty patients undergoing MIDCAB surgery were included. Interventions Insertion of an intracoronary cannula was performed during MIDCAB surgery. Measurements and Results Measurements were determined on 45% follow-up arteriograms, and clinical follow-up was done on patient status. Conclusion The use of an intracoronary cannula during MIDCAB surgery did not result in any trauma to the cannulated coronary artery. The cannula prevented ischemia of the service area of the target coronary artery. ECG changes were avoided as were hypotension and arrhythmias. The cannula also helped stabilize the target coronary area during suturing.
Databáze: OpenAIRE