title: Safe coronary artery occlusion with a new tourniquet in off-pump bypass grafting.
abstract: Coronary artery occlusion during off-pump coronary artery bypass grafting may lead to mechanical trauma of the arterial wall. My colleagues and I describe a safe coronary artery occlusion technique in off-pump bypass grafting that uses a new spring-equipped tourniquet, which enables precise adjustment of the least force necessary to occlude the coronary flow. This prevents snare-induced vessel wall damage.
authors.affiliation: Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan. hiro.tsrg@tmd.ac.jp
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Arai
authors.forename: Keiji
authors.initials: K
authors.lastname: Oi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Tabuchi
authors.forename: Makoto
authors.initials: M
authors.lastname: Sunamori
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D023921:Coronary Stenosis / Q000209:etiology; D004867:Equipment Design; D006801:Humans; D014111:Tourniquets; D016896:Treatment Outcome