Anastomotic devices for coronary artery bypass grafting: technological options and potential pitfalls.
With the advent of off-pump coronary artery bypass grafting and minimally invasive coronary artery bypass grafting, significant efforts have been made to facilitate construction of the graft to coronary anastomosis. As a result, a number of anastomotic devices have been developed. While the ideal anastomotic device should be easy to use, to produce a geometrically optimal anastomosis with minimal endothelial damage and minimal blood-exposed non-intimal surface, a number of design constraints apply. This review collects the available pre-clinical and clinical data for some of the devices with special regard for surgical outcome, patency rate and the need for additional perioperative anticoagulation treatment.
Gummert
J F
JF
Department of Cardiac Surgery, Heartcenter, University of Leipzig, Germany. gumj@medizin.uni-leipzig.de
Opfermann
U
U
Jacobs
S
S
Walther
T
T
Kempfert
J
J
Mohr
F W
FW
Falk
V
V
D000714:Anastomosis, Surgical / Q000295:instrumentation*; D000818:Animals; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D047549:Coronary Artery Bypass, Off-Pump / Q000295:instrumentation; D003331:Coronary Vessels / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D008323:Mammary Arteries / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D012501:Saphenous Vein / Q000601:surgery; D013525:Surgical Instruments