Document Detail


Off-pump coronary artery surgery with the Coron?o Cor-Vasc stabilizing device: clinical experience of 141 patients.
MedLine Citation:
PMID:  20186068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Numerous devices have been successfully introduced in off-pump coronary artery bypass graft (OPCABG) surgery, most of them being disposable tools based on suction stabilization. Coron?o Cor-Vasc is a reusable system combining suction positioning with compression stabilization. The purpose of this study was to analyze our experience in OPCABG with the Cor-Vasc system. METHODS: Between March 2001 and May 2008, 141 patients (age = 71.1 +/- 7.5 years) underwent OPCABG surgery using the Cor-Vasc system, representing 6.3% of the case volume of isolated coronary artery bypass graft surgery in the same period. Eighty-eight patients (62.4%) underwent surgery on an urgent basis. In 95 patients (67.4%), the OPCABG option was selected after finding a diseased ascending aorta at intraoperative epiaortic ultrasound. RESULTS: Among 334 anastomoses (mean = 2.4 +/- 1 per patient), 242 (95 patients) were fashioned with bilateral and 54 (46 patients) with single internal thoracic artery, respectively. In 89.4 and 73% of patients, a complete and a total arterial myocardial revascularization was achieved, respectively. There were two strokes (1.4%) and two myocardial infarctions (1.4%). Two patients died in the hospital (1.4%). Median ICU and in-hospital length of stay were 31.2 h and 10 days, respectively. CONCLUSION: In our experience, the use of the Cor-Vasc system, including the device-learning curve, was associated with low mortality and morbidity indexes in an aged population with a high risk of stroke. The system appeared to be sufficiently versatile and potentially cost-effective when compared with disposable devices.
Authors:
Amedeo Spina; Bernardo Benussi; Aniello Pappalardo; Gabriella Forti; Umberto Tognolli; Marco Gabrielli; Giuseppe Gatti; Bartolo Zingone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  381-5     Citation Subset:  IM    
Affiliation:
Cardiovascular Department, Cardiac Surgery Unit, AOU Ospedali Riuniti di Trieste, Ospedale di Cattinara-Polo Cardiologico, Via Valdoni, Trieste, Italy. amedeospina@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical
Coronary Artery Bypass, Off-Pump / instrumentation*,  mortality
Female
Humans
Italy / epidemiology
Male
Middle Aged
Postoperative Complications / epidemiology*
Retrospective Studies

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