Document Detail

Totally endoscopic myocardial revascularization: an experimental study.
MedLine Citation:
PMID:  10543567     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this study was to examine the feasibility of performing totally endoscopic myocardial revascularization through the abdominal cavity. METHODS AND RESULTS: The right gastroepiploic artery was harvested endoscopically through three troacars in 46 human cadavers. Then, a 5-cm hole was made in the diaphragm to expose the right coronary artery. With the help of two vacuum pods, we fixed a site of the right coronary artery and made a right gastroepiploic artery-right coronary artery anastomosis. In 20 cases, continuous Prolene suture was used, and in 26 experiments, we applied a sutureless technique. Twenty-three anastomosis were patent. CONCLUSIONS: Despite the low patency rate, the transabdominal approach of totally endoscopic bypass grafting is promising and demands further investigation.
G P Vlassov; N O Travine; K S Deyneka; A S Ermolov; M B Belinskiy; S D Klimovskiy; I V Zhuravlev
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  68     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-11-09     Completed Date:  1999-11-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1552-4     Citation Subset:  AIM; IM    
Sclifosovsky Scientific Emergency Center, Moscow, Russia.
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MeSH Terms
Anastomosis, Surgical / instrumentation
Arteries / transplantation
Coronary Artery Bypass / instrumentation*
Feasibility Studies
Surgical Instruments

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