An experimental model of saphenous vein-to-coronary artery anastomosis with the St. Jude Medical stainless steel connector.
BACKGROUND
A new stainless steel anastomosis device developed by St. Jude Medical Cardiovascular Group was studied in a canine model.


METHODS
In 12 dogs, coronary saphenous vein grafts were made to the left anterior descending coronary artery and to the circumflex coronary artery; one anastomosis was completed with the St. Jude Medical stainless steel connector device, and the other with conventional suturing. A 30-day coronary angiogram was performed in surviving animals, and, after sacrifice, anastomoses were measured, examined grossly, and submitted for histologic study.


RESULTS
All 12 animals survived the procedure, and 9 survived to sacrifice at 30 days. Comparing the connector grafts and sutured grafts, no significant differences were found between vessel diameters, intraoperative graft flows, graft patency, and histology. The average loading time for the connector was 8.5 minutes (range 4 to 16 minutes). Mean time for the 12 connector anastomoses was 3 minutes (range 2 to 5 minutes) compared with 8.4 minutes for suture (range 4 to 13 minutes).


CONCLUSIONS
The side-to-side stainless steel connector anastomotic device produces a secure anastomosis with minimal variability; compared with suture methods, it is expeditious and has comparable 30-day histology and angiographic results. It promises to be an important addition to the surgical armamentarium for the treatment of coronary artery disease.
Schaff
Hartzell V
HV
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. schaff@mayo.edu
Zehr
Kenton J
KJ
Bonilla
Luis F
LF
Brennecke
Lucas H
LH
Berg
Todd
T
Cornelius
Rick
R
Hindrichs
Paul
P
Swanson
William
W
D000714:Anastomosis, Surgical; D000818:Animals; D003331:Coronary Vessels / Q000601:surgery*; D004285:Dogs; D006488:Hemostasis, Surgical; D012501:Saphenous Vein / Q000637:transplantation*; D013536:Suture Techniques; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000295:instrumentation*