Document Detail


First clinical experience with the HEARTSTRING, a device for proximal anastomoses in coronary surgery.
MedLine Citation:
PMID:  15854965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The HEARTSTRING is a device designed to enable the creation of a clampless hand-sewn proximal anastomosis. DESCRIPTION: Seventy-six patients who underwent myocardial revascularization had 113 proximal anastomoses created by the HEARTSTRING. Fifty-five procedures were performed on cardiopulmonary bypass and 21, off pump. EVALUATION: Of 114 intended proximal anastomoses, 113 (99.1%) were successfully performed using the HEARTSTRING. The conduits anastomosed proximal with support of the HEARTSTRING were in 92 cases saphenous veins and in 21 cases radial arteries. Mean time to perform a HEARTSTRING-supported anastomosis was 6.6 +/- 1.2 minutes. One patient (1.3%) died postoperatively; the death was not device related. In 1 additional patient (1.3%), a stroke most likely due to air embolism occurred. Forty-nine patients (64.5%) underwent a predischarge coronary angiography (n = 20) or a contrast multislice computed tomography (n = 29). Of 76 grafts with a HEARTSTRING-supported proximal anastomosis, 74 (97.4%) were patent in these 49 patients. CONCLUSIONS: Our initial clinical experience with the HEARTSTRING demonstrates safety, reliability, and ease of use. Side clamping of the ascending aorta can be avoided, potentially decreasing the incidence of neurologic complications.
Authors:
Calin Vicol; Martin Oberhoffer; Georg Nollert; Sandra Eifert; Peter Boekstegers; Bernd Wintersperger; Bruno Reichart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  79     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-27     Completed Date:  2006-08-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1732-7; discussion 1737     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiac Surgery, Grosshadern Medical Center, Ludwig Maximilians University Munich, Munich, Germany. calin.vicol@med.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical / instrumentation*
Angioplasty, Transluminal, Percutaneous Coronary
Cardiac Surgical Procedures / instrumentation*
Coronary Disease / surgery
Equipment Design
Female
Heart Valve Diseases / surgery
Humans
Male
Middle Aged
Myocardial Infarction / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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