| Temporary distal occlusion for non-pharmacological preconditioning of harvested internal mammary artery grafts. | |
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MedLine Citation:
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PMID: 9628391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Perioperative spasm of the internal mammary artery (IMA) may result in early restriction of bypass flow. Therefore, pharmacological pretreatment is usually suggested. We present a technique of temporary distal occlusion of the transsected IMA using a metal clip. After 1 hour of storage in normal saline (SAL) there were significantly better flow rates compared with proximal application of a bull-dog clamp. No further increase in flow was noticed after submersion of the IMA pedicle in verapamil (VER). This technique easily provides sufficient IMA flow at the time of anastomosis, probably due to continuous endoluminal dilatation of the IMA by blood pressure, and thus avoids pharmacological pretreatment with vasodilators. |
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Authors:
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T Wittwer; T Wahlers; U Franke; A Haverich |
Publication Detail:
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Type: Letter |
Journal Detail:
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Title: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Volume: 13 ISSN: 1010-7940 ISO Abbreviation: Eur J Cardiothorac Surg Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-07-29 Completed Date: 1998-07-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8804069 Medline TA: Eur J Cardiothorac Surg Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 332-3 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Constriction Female Humans Internal Mammary-Coronary Artery Anastomosis* Male Middle Aged Postoperative Complications / prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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