A new method for coronary occlusion and local stabilization during minimally invasive LIMA-to-LAD-bypass.
The minimally invasive direct coronary occlusion and stabilizing technique (midCOAST)-system, a new device for coronary occlusion and local stabilization during minimally invasive LIMA-to-LAD-bypass is presented. A closed platform with an oval opening in its center provides optimal immobilization together with platform-fixed vessel-loops, which are used for LAD-occlusion. Clinical results in 72 consecutive patients indicate that the midCOAST-device can be safely and effectively used for minimally invasive LIMA-to-LAD-procedure, even in patients with impaired left ventricular function. Due to the optimal immobilization of the target area the quality of the LIMA-to-LAD-anastomosis, documented by post-operative angiography (62/72), was excellent in all cases.
Riess
F C
FC
Department of Cardiac Surgery, Albertinen-Krankenhaus, Hamburg, Germany. heartadw@aol.com
Bleese
N
N
Riess
A G
AG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003250:Constriction; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000295:instrumentation / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies