Minimally ischemic off-pump coronary artery bypass grafting: active perfusion-assist with nitroglycerin-supplemented blood.
During off-pump coronary artery bypass surgery, concern remains about possible myocardial injury associated with the transient occlusion and stabilization of the target vessels. To try to minimize myocardial ischemia and achieve hemodynamic stability, we used a coronary perfusion catheter combined with the perfusion-assisted direct coronary artery bypass system, which enables active and modified coronary perfusion of the target vessel throughout the duration of multiple grafting.
Muraki
Satoshi
S
Second Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan. muraki@sapmed.ac.jp
Tsukamoto
Masaru
M
Komatsu
Kanshi
K
Sakata
Jyunichi
J
Ohori
Syunsuke
S
Hasegawa
Takeo
T
Abe
Tomio
T
D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000187:drug effects; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000517:prevention & control*; D006084:Graft Rejection; D006085:Graft Survival; D006355:Heart-Lung Machine; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D015428:Myocardial Reperfusion Injury / Q000517:prevention & control*; D005996:Nitroglycerin / Q000008:administration & dosage*; D010477:Perfusion / Q000379:methods; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology
D005996:Nitroglycerin