| The "fully no-touch" technique for the internal thoracic-coronary artery anastomosis. | |
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MedLine Citation:
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PMID: 8000268 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Extreme technical accuracy is crucial in coronary artery surgery. Although late graft patency depends mostly upon the patient's own biochemical status in chronic ischemic patients who have undergone elective surgery, graft disease is certainly promoted by an inaccurate technique or by careless arterial harvesting, which may cause both intimal lesions and anastomotic strictures. We describe a technique of internal thoracic-coronary artery anastomosis that fully prevents contact between vessels and surgical instruments. In order to enable the suturing of a fully dilated vessel, intracoronary papaverine is injected into the clamped aortic root while the heart is still beating and before systemic cooling begins. The suturing technique applies some microvascular principles, the chief being a high number of stitches incorporating the least amount of tissue, to avoid bulk. |
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Authors:
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V Dottori; S Spagnolo; M Agostini; E Parodi; M Giambuzzi; G DeGaetano; A Lijoi; C Faveto; L Barberis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 21 ISSN: 0730-2347 ISO Abbreviation: Tex Heart Inst J Publication Date: 1994 |
Date Detail:
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Created Date: 1995-01-26 Completed Date: 1995-01-26 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 211-4 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, University of Genoa, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aorta Humans Injections Internal Mammary-Coronary Artery Anastomosis / methods* Microsurgery / methods Papaverine / administration & dosage Suture Techniques Transplantation, Autologous Vascular Patency |
| Chemical | |
Reg. No./Substance:
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58-74-2/Papaverine |
| Comments/Corrections | |
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