Anastomotic devices for coronary artery bypass grafting.
With the advent of off-pump and minimally invasive coronary artery bypass grafting, efforts to facilitate construction of the graft to coronary anastomosis have increased. As a result, a number of anastomotic devices have been developed. While the ideal anastomotic device should be easy to use, produce a geometrically optimal anastomosis with minimal endothelial damage and minimal blood-exposed nonintimal surface, a number of design constraints apply. This review collects the available preclinical and clinical data for some of the devices, with special regard as to surgical outcome, patency rate and the need for additional perioperative anticoagulation treatment.
Falk
Volkmar
V
Universität Leipzig Herzzentrum, Klinik für Herzchirurgie, Strümpellstrasse 39, 04289 Leipzig, Germany. falv@medizin.uni-leipzig.de
Walther
Thomas
T
Gummert
Jan F
JF
D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods; D001807:Blood Vessel Prosthesis; D001026:Coronary Artery Bypass / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D019919:Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D015607:Stents; D013536:Suture Techniques / Q000295:instrumentation*