title: The results of the enclose II proximal anastomotic device in 178 off-pump coronary artery bypass surgeries.
abstract: OBJECTIVE
  Enclose II is a new device for proximal coronary artery bypass anastomoses. We evaluated the safety and effectiveness of Enclose II in patients who underwent off-pump coronary artery bypass grafting (CABG).
  
  
  METHODS
  Enclose II was used for isolated off-pump CABG in 178 patients at six heart centers between October 2005 and December 2009. The preoperative characteristics of the patients, complications related to Enclose II, and early graft patency rates were examined.
  
  
  RESULTS
  A total of 222 proximal anastomoses were performed in 178 patients using Enclose II. Forty-four of these patients had two proximal anastomoses using this device. New cerebral infarction that arose in two patients (1.1%) was not related to Enclose II. No aortic injury occurred. The graft patency rate was 96.4% at 1 year after surgery.
  
  
  CONCLUSIONS
  Enclose II is a safe and useful assist device for proximal anastomoses in patients undergoing off-pump CABG.
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan. yuuki_seto3000@yahoo.co.jp
authors.forename: Yuki
authors.initials: Y
authors.lastname: Seto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoyama
authors.forename: Shinya
authors.initials: S
authors.lastname: Takase
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tanji
authors.forename: Koki
authors.initials: K
authors.lastname: Takahashi
authors.forename: Shoichi
authors.initials: S
authors.lastname: Takahashi
authors.forename: Jun
authors.initials: J
authors.lastname: Hirota
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hagiwara
authors.forename: Masaaki
authors.initials: M
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation; D002544:Cerebral Infarction / Q000517:prevention & control*; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D003324:Coronary Artery Disease / Q000601:surgery*; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D016019:Survival Analysis; D016896:Treatment Outcome