Document Detail


The Heartflo device for distal coronary anastomoses: clinical experiences in 60 patients.
MedLine Citation:
PMID:  12400758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Heartflo anastomotic device automates the suturing process with simultaneous delivery of 10 standard polypropylene sutures through the graft and the coronary vessel wall to construct the anastomosis. We performed clinical testing in 60 patients undergoing coronary artery bypass grafting. METHODS: One automated distal coronary anastomosis was initially placed in each patient, the other anastomoses were created with standard running sutures. After a "flat foot"-shaped prototype was deployed in 30 patients (group I), the design of the foot was modified and deployment of the new device performed in the next 30 patients (group II). RESULTS: In group I, automated anastomoses were completed in 16 patients (53%) using 1.7 +/- 1 additional stitches. In 26 group II patients (86%), a hemostatic anastomosis using 1.2 +/- 1 additional stitches was achieved. Anastomoses were completed in 19.0 +/- 3 minutes in group I and in 15.6 +/- 2 minutes in group II. CONCLUSIONS: We have shown the feasability of coronary anastomoses using the Heartflo device. The modified version improved tissue capture, resulting in a higher rate of completed anastomoses. Because anastomotic time is still prolonged, an easier suture management is mandatory in the next developmental step.
Authors:
Sven Martens; Markus Dietrich; Mirko Doss; Anton Moritz; Gerhard Wimmer-Greinecker
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  74     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-28     Completed Date:  2002-11-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1139-43     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, University Hospital J.W. Goethe, Frankfurt am Main, Germany. martens.herz@gmx.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical / instrumentation*
Coronary Artery Bypass / instrumentation*
Female
Humans
Male
Middle Aged
Suture Techniques / instrumentation

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


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