title: Anastomotic devices for coronary artery bypass grafting: technological options and potential pitfalls.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Heartcenter, University of Leipzig, Germany. gumj@medizin.uni-leipzig.de
authors.forename: J F
authors.initials: JF
authors.lastname: Gummert
authors.forename: U
authors.initials: U
authors.lastname: Opfermann
authors.forename: S
authors.initials: S
authors.lastname: Jacobs
authors.forename: T
authors.initials: T
authors.lastname: Walther
authors.forename: J
authors.initials: J
authors.lastname: Kempfert
authors.forename: F W
authors.initials: FW
authors.lastname: Mohr
authors.forename: V
authors.initials: V
authors.lastname: Falk
mesh_terms: 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