| 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 |
Related Documents
:
|
14980848 - Clinical and angiographic outcome of coronary surgery with and without cardiopulmonary ... 18603748 - Comparison of continuous thoracic epidural and paravertebral block for postoperative an... 18549848 - Impact on contrast, fluoroscopy, and catheter utilization from knowing the coronary art... 1756048 - An experimental study of hot air thermocoagulation in cardiac surgery. 12415238 - Aortic dissection with aorto-left atrial fistula formation soon after aortic valve repl... 21986158 - Predictive value of doppler ultrasound in childhood pneumonia. |
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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Disability and functional profiles of patients with migraine measured with ICF classification.
Next Document: Diuretic therapy in heart failure: current controversies and new approaches for fluid removal.