title: Off-pump coronary bypass grafting: how to use the Octopus Tissue Stabilizer.
abstract: Off-pump coronary artery bypass grafting requires immobilization of the coronary artery. A suction device (Octopus Tissue Stabilizer), attached to the epicardium and connected rigidly to the operating table rail, was used through limited and full surgical access for single-vessel and multivessel arterial revascularization, respectively. An outline for its application, as used by us to construct 122 anastomoses in 70 patients, including posterior wall grafting (in 9 patients) and sequential grafting on the anterior wall (in 17 patients), is presented.
authors.affiliation: Department of Cardiopulmonary Surgery, Heart-Lung Institute, Utrecht University Hospital, The Netherlands.
authors.forename: E W
authors.initials: EW
authors.lastname: Jansen
authors.forename: J R
authors.initials: JR
authors.lastname: Lahpor
authors.forename: C
authors.initials: C
authors.lastname: Borst
authors.forename: P F
authors.initials: PF
authors.lastname: Gründeman
authors.forename: J J
authors.initials: JJ
authors.lastname: Bredée
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D006801:Humans; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy / Q000295:instrumentation