Novel surgical method of proximal anastomosis in off-pump coronary artery bypass grafting.
BACKGROUND
Cerebral embolization as a result of aortic manipulation has emerged as an important risk factor for the incidence of stroke after off-pump coronary artery bypass grafting (OPACB).


RESULTS
A new surgical technique for proximal anastomosis without using a side-biting clamp or any proximal anastomotic device in OPACB has been developed and successfully used for proximal anastomosis between a great saphenous vein or radial artery graft and the aorta in OPCAB of 138 patients, with good short-term results.


CONCLUSIONS
This novel technique proximal anastomosis in OPACB can be completed in a safe, easy and economical fashion.
Chen
Xin
X
Department of Thoracic & Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, China. stevecx@jlonline.com
Chen
Xujun
X
Shi
Kaihui
K
Xu
Ming
M
Wang
Liming
L
Jiang
Yingshuo
Y
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001011:Aorta / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D017534:Radial Artery / Q000601:surgery; D012501:Saphenous Vein / Q000601:surgery; D013525:Surgical Instruments