title: Novel surgical method of proximal anastomosis in off-pump coronary artery bypass grafting.
abstract: 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.
authors.affiliation: Department of Thoracic & Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, China. stevecx@jlonline.com
authors.forename: Xin
authors.initials: X
authors.lastname: Chen
authors.forename: Xujun
authors.initials: X
authors.lastname: Chen
authors.forename: Kaihui
authors.initials: K
authors.lastname: Shi
authors.forename: Ming
authors.initials: M
authors.lastname: Xu
authors.forename: Liming
authors.initials: L
authors.lastname: Wang
authors.forename: Yingshuo
authors.initials: Y
authors.lastname: Jiang
mesh_terms: 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