Document Detail


Temporary coronary artery perfusion catheter during minimally invasive coronary surgery.
MedLine Citation:
PMID:  9498973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A Coulson; S Bakhshay; J Quarnstrom; P Spohn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  113     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-10     Completed Date:  1998-03-10     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  514-20     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arrhythmias, Cardiac / prevention & control
Catheterization / adverse effects,  instrumentation*
Coronary Angiography
Coronary Circulation*
Coronary Vessels* / injuries
Electrocardiography
Evaluation Studies as Topic
Female
Follow-Up Studies
Humans
Hypotension / prevention & control
Internal Mammary-Coronary Artery Anastomosis / adverse effects,  instrumentation,  methods*
Intraoperative Complications / prevention & control
Male
Middle Aged
Myocardial Ischemia / prevention & control
Postoperative Complications
Retrospective Studies
Surgical Procedures, Minimally Invasive
Survival Rate
Suture Techniques
Vascular Patency
Comments/Corrections
Comment In:
Chest. 1998 Sep;114(3):943-4   [PMID:  9743193 ]

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


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