title: Clampless anastomosis: novel device for clampless proximal vein anastomosis in OPCAB surgery--the initial Spyder experience.
abstract: The Spyder is a novel device that enables the attachment of a vein to the aorta by compliant, interrupted anastomosis; this minimizes aortic manipulation during off pump-coronary artery bypass (OPCAB) surgery. Its use may reduce transcranial Doppler signals recorded during CABG. We performed 250 anastomoses in 160 OPCAB cases in many centers and recorded efficiency and efficacy data. There were no adverse events noted during the operative period. In a subset of patients in one center, flow (n = 48) and transcranial Doppler signals (n = 22) were measured. We found the device to be a useful adjunct for minimally invasive CABG surgery.
authors.affiliation: Clinical Cardiology Research Center, Baylor University Medical Center, Dallas, Texas 75246, USA.
authors.forename: Baron L
authors.initials: BL
authors.lastname: Hamman
authors.forename: Cory H
authors.initials: CH
authors.lastname: White
authors.forename: Michael
authors.initials: M
authors.lastname: Fontes
authors.forename: Lise
authors.initials: L
authors.lastname: Labiche
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation*; D001011:Aorta / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005240:Feasibility Studies; D006801:Humans; D010865:Pilot Projects; D020858:Tissue and Organ Harvesting / Q000295:instrumentation* / Q000379:methods; D014680:Veins / Q000637:transplantation*