Initial experience with the Heartstring proximal anastomotic system
Manipulation of the aorta has been shown to be associated with postoperative neurologic events after surgical myocardial revascularization when the aorta is diseased. The Heartstring proximal anastomotic system (Guidant, Indianapolis, Ind) is a device designed to assist in the performance of proxima...
Gespeichert in:
| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2004-08, Vol.128 (2), p.273-277 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 277 |
|---|---|
| container_issue | 2 |
| container_start_page | 273 |
| container_title | The Journal of thoracic and cardiovascular surgery |
| container_volume | 128 |
| creator | Medalion, Benjamin Meirson, David Hauptman, Eli Sasson, Lior Schachner, Arie |
| description | Manipulation of the aorta has been shown to be associated with postoperative neurologic events after surgical myocardial revascularization when the aorta is diseased. The Heartstring proximal anastomotic system (Guidant, Indianapolis, Ind) is a device designed to assist in the performance of proximal anastomoses with minimal aortic manipulation. We describe our initial experience with this product.
Twelve patients with a diseased aorta who underwent off-pump myocardial revascularization and had their proximal anastomoses performed with the Heartstring device were studied for operative and postoperative outcomes and surgical technique.
The mean age of the patients was 76 ± 7 years. The estimated EuroSCORE perioperative mortality was 12% ± 8%. The median number of distal anastomoses was 3. In all patients, a saphenous vein graft was anastomosed to the aorta using the Heartstring device. In 5 patients, the radial artery was used as a conduit and connected proximally to a left internal thoracic artery as a Y graft, to a saphenous vein graft as a “horseshoe,” or on the hood of a saphenous vein graft. The operative and postoperative courses were uneventful. Three seals developed cracks and were not used. One seal developed an unravel in its periphery but was used successfully.
The Heartstring proximal anastomotic system is a device that allows the surgeon to perform standard proximal clampless anastomoses. Elderly patients with a diseased aorta may benefit from this device. |
| doi_str_mv | 10.1016/j.jtcvs.2003.11.045 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66758315</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022522303020105</els_id><sourcerecordid>66758315</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-6ae87428e83a7721c22691405c4847a058053c6bde6c63c8b713dfa37774b6a03</originalsourceid><addsrcrecordid>eNp9kUtrGzEUhUVpaJy0v6BQZtN2NVNdafTwootg2iQQyKaF7oSsuY5l5uHqynn8-8ixIbustPnO0eG7jH0G3gAH_WPTbHK4p0ZwLhuAhrfqHZsBn5taW_XvPZtxLkSthJCn7Ixowzk3HOYf2CkoYUWr1YwtrseYo-8rfNxiijgGrB5iXld5jdUV-pQppzjeVds0PcahgH70lKdhyjFU9EQZh4_sZOV7wk_H95z9_f3rz-Kqvrm9vF5c3NSh1SLX2qM1rbBopTdGQBBCz6HlKrS2NZ4ry5UMetmhDloGuzQgu5WXxph2qT2X5-zbobds-b9Dym6IFLDv_YjTjpzWRlkJqoDyAIY0ESVcuW0q29OTA-727tzGvbhze3cOwBV3JfXlWL9bDti9Zo6yCvD1CHgKvl8lP4ZIr5zmoNR8z30_cOt4t36ICR0VcX2phf23BMI64YSRhfx5ILFou4-YHIWXG3QlFbLrpvjm5GeeTJsp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66758315</pqid></control><display><type>article</type><title>Initial experience with the Heartstring proximal anastomotic system</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Medalion, Benjamin ; Meirson, David ; Hauptman, Eli ; Sasson, Lior ; Schachner, Arie</creator><creatorcontrib>Medalion, Benjamin ; Meirson, David ; Hauptman, Eli ; Sasson, Lior ; Schachner, Arie</creatorcontrib><description>Manipulation of the aorta has been shown to be associated with postoperative neurologic events after surgical myocardial revascularization when the aorta is diseased. The Heartstring proximal anastomotic system (Guidant, Indianapolis, Ind) is a device designed to assist in the performance of proximal anastomoses with minimal aortic manipulation. We describe our initial experience with this product.
Twelve patients with a diseased aorta who underwent off-pump myocardial revascularization and had their proximal anastomoses performed with the Heartstring device were studied for operative and postoperative outcomes and surgical technique.
The mean age of the patients was 76 ± 7 years. The estimated EuroSCORE perioperative mortality was 12% ± 8%. The median number of distal anastomoses was 3. In all patients, a saphenous vein graft was anastomosed to the aorta using the Heartstring device. In 5 patients, the radial artery was used as a conduit and connected proximally to a left internal thoracic artery as a Y graft, to a saphenous vein graft as a “horseshoe,” or on the hood of a saphenous vein graft. The operative and postoperative courses were uneventful. Three seals developed cracks and were not used. One seal developed an unravel in its periphery but was used successfully.
The Heartstring proximal anastomotic system is a device that allows the surgeon to perform standard proximal clampless anastomoses. Elderly patients with a diseased aorta may benefit from this device.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2003.11.045</identifier><identifier>PMID: 15282465</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Aged ; Anastomosis, Surgical - instrumentation ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aorta, Thoracic - surgery ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Artery Bypass ; Equipment Design ; Female ; Humans ; Male ; Medical sciences ; Pneumology ; Vascular Surgical Procedures - instrumentation</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2004-08, Vol.128 (2), p.273-277</ispartof><rights>2004 The American Association for Thoracic Surgery</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-6ae87428e83a7721c22691405c4847a058053c6bde6c63c8b713dfa37774b6a03</citedby><cites>FETCH-LOGICAL-c462t-6ae87428e83a7721c22691405c4847a058053c6bde6c63c8b713dfa37774b6a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jtcvs.2003.11.045$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16015595$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15282465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Medalion, Benjamin</creatorcontrib><creatorcontrib>Meirson, David</creatorcontrib><creatorcontrib>Hauptman, Eli</creatorcontrib><creatorcontrib>Sasson, Lior</creatorcontrib><creatorcontrib>Schachner, Arie</creatorcontrib><title>Initial experience with the Heartstring proximal anastomotic system</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Manipulation of the aorta has been shown to be associated with postoperative neurologic events after surgical myocardial revascularization when the aorta is diseased. The Heartstring proximal anastomotic system (Guidant, Indianapolis, Ind) is a device designed to assist in the performance of proximal anastomoses with minimal aortic manipulation. We describe our initial experience with this product.
Twelve patients with a diseased aorta who underwent off-pump myocardial revascularization and had their proximal anastomoses performed with the Heartstring device were studied for operative and postoperative outcomes and surgical technique.
The mean age of the patients was 76 ± 7 years. The estimated EuroSCORE perioperative mortality was 12% ± 8%. The median number of distal anastomoses was 3. In all patients, a saphenous vein graft was anastomosed to the aorta using the Heartstring device. In 5 patients, the radial artery was used as a conduit and connected proximally to a left internal thoracic artery as a Y graft, to a saphenous vein graft as a “horseshoe,” or on the hood of a saphenous vein graft. The operative and postoperative courses were uneventful. Three seals developed cracks and were not used. One seal developed an unravel in its periphery but was used successfully.
The Heartstring proximal anastomotic system is a device that allows the surgeon to perform standard proximal clampless anastomoses. Elderly patients with a diseased aorta may benefit from this device.</description><subject>Aged</subject><subject>Anastomosis, Surgical - instrumentation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aorta, Thoracic - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Artery Bypass</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Vascular Surgical Procedures - instrumentation</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtrGzEUhUVpaJy0v6BQZtN2NVNdafTwootg2iQQyKaF7oSsuY5l5uHqynn8-8ixIbustPnO0eG7jH0G3gAH_WPTbHK4p0ZwLhuAhrfqHZsBn5taW_XvPZtxLkSthJCn7Ixowzk3HOYf2CkoYUWr1YwtrseYo-8rfNxiijgGrB5iXld5jdUV-pQppzjeVds0PcahgH70lKdhyjFU9EQZh4_sZOV7wk_H95z9_f3rz-Kqvrm9vF5c3NSh1SLX2qM1rbBopTdGQBBCz6HlKrS2NZ4ry5UMetmhDloGuzQgu5WXxph2qT2X5-zbobds-b9Dym6IFLDv_YjTjpzWRlkJqoDyAIY0ESVcuW0q29OTA-727tzGvbhze3cOwBV3JfXlWL9bDti9Zo6yCvD1CHgKvl8lP4ZIr5zmoNR8z30_cOt4t36ICR0VcX2phf23BMI64YSRhfx5ILFou4-YHIWXG3QlFbLrpvjm5GeeTJsp</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Medalion, Benjamin</creator><creator>Meirson, David</creator><creator>Hauptman, Eli</creator><creator>Sasson, Lior</creator><creator>Schachner, Arie</creator><general>Mosby, Inc</general><general>AATS/WTSA</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Initial experience with the Heartstring proximal anastomotic system</title><author>Medalion, Benjamin ; Meirson, David ; Hauptman, Eli ; Sasson, Lior ; Schachner, Arie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-6ae87428e83a7721c22691405c4847a058053c6bde6c63c8b713dfa37774b6a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Anastomosis, Surgical - instrumentation</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aorta, Thoracic - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Artery Bypass</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumology</topic><topic>Vascular Surgical Procedures - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Medalion, Benjamin</creatorcontrib><creatorcontrib>Meirson, David</creatorcontrib><creatorcontrib>Hauptman, Eli</creatorcontrib><creatorcontrib>Sasson, Lior</creatorcontrib><creatorcontrib>Schachner, Arie</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Medalion, Benjamin</au><au>Meirson, David</au><au>Hauptman, Eli</au><au>Sasson, Lior</au><au>Schachner, Arie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initial experience with the Heartstring proximal anastomotic system</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>128</volume><issue>2</issue><spage>273</spage><epage>277</epage><pages>273-277</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Manipulation of the aorta has been shown to be associated with postoperative neurologic events after surgical myocardial revascularization when the aorta is diseased. The Heartstring proximal anastomotic system (Guidant, Indianapolis, Ind) is a device designed to assist in the performance of proximal anastomoses with minimal aortic manipulation. We describe our initial experience with this product.
Twelve patients with a diseased aorta who underwent off-pump myocardial revascularization and had their proximal anastomoses performed with the Heartstring device were studied for operative and postoperative outcomes and surgical technique.
The mean age of the patients was 76 ± 7 years. The estimated EuroSCORE perioperative mortality was 12% ± 8%. The median number of distal anastomoses was 3. In all patients, a saphenous vein graft was anastomosed to the aorta using the Heartstring device. In 5 patients, the radial artery was used as a conduit and connected proximally to a left internal thoracic artery as a Y graft, to a saphenous vein graft as a “horseshoe,” or on the hood of a saphenous vein graft. The operative and postoperative courses were uneventful. Three seals developed cracks and were not used. One seal developed an unravel in its periphery but was used successfully.
The Heartstring proximal anastomotic system is a device that allows the surgeon to perform standard proximal clampless anastomoses. Elderly patients with a diseased aorta may benefit from this device.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>15282465</pmid><doi>10.1016/j.jtcvs.2003.11.045</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-5223 |
| ispartof | The Journal of thoracic and cardiovascular surgery, 2004-08, Vol.128 (2), p.273-277 |
| issn | 0022-5223 1097-685X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66758315 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Anastomosis, Surgical - instrumentation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aorta, Thoracic - surgery Biological and medical sciences Cardiology. Vascular system Coronary Artery Bypass Equipment Design Female Humans Male Medical sciences Pneumology Vascular Surgical Procedures - instrumentation |
| title | Initial experience with the Heartstring proximal anastomotic system |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T07%3A49%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Initial%20experience%20with%20the%20Heartstring%20proximal%20anastomotic%20system&rft.jtitle=The%20Journal%20of%20thoracic%20and%20cardiovascular%20surgery&rft.au=Medalion,%20Benjamin&rft.date=2004-08-01&rft.volume=128&rft.issue=2&rft.spage=273&rft.epage=277&rft.pages=273-277&rft.issn=0022-5223&rft.eissn=1097-685X&rft.coden=JTCSAQ&rft_id=info:doi/10.1016/j.jtcvs.2003.11.045&rft_dat=%3Cproquest_cross%3E66758315%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=66758315&rft_id=info:pmid/15282465&rft_els_id=S0022522303020105&rfr_iscdi=true |