Portable coronary active perfusion system for off-pump coronary artery bypass grafting.
OBJECTIVE
The present study was performed to develop a new perfusion system for off-pump coronary artery bypass grafting and to examine whether even a simple coronary perfusion system can maintain adequate blood flow delivery during anastomosis.


METHODS
The experiment was performed in two stages. In procedure 1, 3 pigs with left anterior descending artery occlusion were used to evaluate optimal perfusion flow rate and coronary artery internal pressure, and to evaluate the safety area of perfusion. In procedure 2, 6 pigs were used to validate the new portable coronary perfusion system.


RESULTS
The optimal blood flow in the portable coronary active perfusion system was less than approximately 40 mL/min. The small, easy to use pump system (ie, the portable coronary active perfusion system) may prevent hemodynamic deterioration and ventricular arrhythmia during coronary occlusion, resulting in better maintenance of left ventricular function.


CONCLUSIONS
Even a simple pump system can achieve effective perfusion for safe anastomosis. Further studies are required to allow the clinical use of this system.
Koshida
Yoshinao
Y
Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Ishikawa, Japan. yoshinaoko2000@yahoo.co.jp
Watanabe
Go
G
Yasuda
Tamotsu
T
Tomita
Shigeyuki
S
Kadoya
Shinichi
S
Kanamori
Taro
T
D000714:Anastomosis, Surgical; D000818:Animals; D001794:Blood Pressure; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D003331:Coronary Vessels / Q000601:surgery*; D012039:Regional Blood Flow; D013552:Swine; D016277:Ventricular Function, Left