| A simple method of triggering balloon counterpulsation accurately during off-pump coronary artery bypass surgery. | |
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MedLine Citation:
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PMID: 15680881 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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With increasing experience, off-pump coronary artery bypass grafting for high-risk patients can be performed safely. However, in patients who need intraaortic balloon counterpulsation support, mistriggering of intraaortic balloon counterpulsation during mobilization of the heart can induce unstable hemodynamic conditions. My colleagues and I have developed a simple method of detecting the trigger signal accurately: an epicardial pacemaker wire is placed close to the apex of the left ventricle, and 1 precordial V lead is disconnected and then linked to the epicardial pacemaker wire. This method provides an excellent detection of R-wave potentials in any position of the heart throughout an entire off-pump coronary artery bypass grafting procedure. |
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Authors:
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Takayuki Ono; Teiji Asakura; Takeki Ohashi; Nagara Ono |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 79 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-01-31 Completed Date: 2005-09-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 723-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, Heart Centre, Nagoya Tokushukai General Hospital, Aichi, Japan. takohno@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Artery Bypass, Off-Pump
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methods* Counterpulsation / methods* Electrocardiography / methods Humans Monitoring, Intraoperative / methods* Pacemaker, Artificial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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