Temporary luminal arteriotomy seal: III. Postmortem arteriosclerotic human coronary artery
Background. Recently, we described a temporary luminal arteriotomy seal that provided a bloodless arteriotomy without obstructing recipient artery blood flow during bypass grafting in nonarteriosclerotic porcine arteries. This postmortem study assessed the sealing properties in irregular arterioscle...
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| Veröffentlicht in: | The Annals of thoracic surgery 1999, Vol.67 (1), p.120-123 |
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| container_title | The Annals of thoracic surgery |
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| creator | Heijmen, Robin H Borst, Cornelius Mouës, Chantal M van der Helm, Yvonne J.M Gründeman, Paul F Pasterkamp, Gerard |
| description | Background. Recently, we described a temporary luminal arteriotomy seal that provided a bloodless arteriotomy without obstructing recipient artery blood flow during bypass grafting in nonarteriosclerotic porcine arteries. This postmortem study assessed the sealing properties in irregular arteriosclerotic human coronary arteries.
Methods. Three hearts were obtained from donated corpses within 24 hours of death. The coronary arteries were pressure-perfused at 60 mm Hg with citrated porcine blood. At 15 anastomosis sites in four different coronary arteries, an end-to-side anastomosis was created using a 200-μm-thick polyurethane seal. Adequacy of sealing was determined at perfusion pressures of 60, 40, and 20 mm Hg.
Results. After insertion, the arteriotomy was sealed instantaneously in 10 of 15 anastomoses. After repositioning, complete sealing with a bloodless operative field was obtained in all cases. Low intracoronary transmural pressure did not impede sealing. In 8 of 15 anastomoses, minor leakage without obscuring the arteriotomy edges was observed during anastomotic suturing. Histologic examination revealed no intimal tear or dissection caused by the anastomotic procedure.
Conclusions. In postmortem-obtained arteriosclerotic human coronary arteries, the temporary luminal arteriotomy seal provided optimal visualization of the coronary anastomosis site in combination with persistent distal perfusion. |
| doi_str_mv | 10.1016/S0003-4975(98)01236-3 |
| format | Article |
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Methods. Three hearts were obtained from donated corpses within 24 hours of death. The coronary arteries were pressure-perfused at 60 mm Hg with citrated porcine blood. At 15 anastomosis sites in four different coronary arteries, an end-to-side anastomosis was created using a 200-μm-thick polyurethane seal. Adequacy of sealing was determined at perfusion pressures of 60, 40, and 20 mm Hg.
Results. After insertion, the arteriotomy was sealed instantaneously in 10 of 15 anastomoses. After repositioning, complete sealing with a bloodless operative field was obtained in all cases. Low intracoronary transmural pressure did not impede sealing. In 8 of 15 anastomoses, minor leakage without obscuring the arteriotomy edges was observed during anastomotic suturing. Histologic examination revealed no intimal tear or dissection caused by the anastomotic procedure.
Conclusions. In postmortem-obtained arteriosclerotic human coronary arteries, the temporary luminal arteriotomy seal provided optimal visualization of the coronary anastomosis site in combination with persistent distal perfusion.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(98)01236-3</identifier><identifier>PMID: 10086535</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; anastomosis ; Anastomosis, Surgical - methods ; Biological and medical sciences ; Coronary Artery Bypass - methods ; Coronary Artery Disease - surgery ; Coronary Vessels - pathology ; experimental ; Female ; Humans ; Male ; Medical sciences ; Polyurethanes ; postmortem ; Pressure ; shunt ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Suture Techniques ; Tissue Adhesives ; Tunica Intima - pathology ; vascular surgery</subject><ispartof>The Annals of thoracic surgery, 1999, Vol.67 (1), p.120-123</ispartof><rights>1999 The Society of Thoracic Surgeons</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-ca64be2036f1a7b517e6b3c16b101904e65e49d93e75826954c1f185386b644d3</citedby><cites>FETCH-LOGICAL-c425t-ca64be2036f1a7b517e6b3c16b101904e65e49d93e75826954c1f185386b644d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-4975(98)01236-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1694735$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10086535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heijmen, Robin H</creatorcontrib><creatorcontrib>Borst, Cornelius</creatorcontrib><creatorcontrib>Mouës, Chantal M</creatorcontrib><creatorcontrib>van der Helm, Yvonne J.M</creatorcontrib><creatorcontrib>Gründeman, Paul F</creatorcontrib><creatorcontrib>Pasterkamp, Gerard</creatorcontrib><title>Temporary luminal arteriotomy seal: III. Postmortem arteriosclerotic human coronary artery</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. Recently, we described a temporary luminal arteriotomy seal that provided a bloodless arteriotomy without obstructing recipient artery blood flow during bypass grafting in nonarteriosclerotic porcine arteries. This postmortem study assessed the sealing properties in irregular arteriosclerotic human coronary arteries.
Methods. Three hearts were obtained from donated corpses within 24 hours of death. The coronary arteries were pressure-perfused at 60 mm Hg with citrated porcine blood. At 15 anastomosis sites in four different coronary arteries, an end-to-side anastomosis was created using a 200-μm-thick polyurethane seal. Adequacy of sealing was determined at perfusion pressures of 60, 40, and 20 mm Hg.
Results. After insertion, the arteriotomy was sealed instantaneously in 10 of 15 anastomoses. After repositioning, complete sealing with a bloodless operative field was obtained in all cases. Low intracoronary transmural pressure did not impede sealing. In 8 of 15 anastomoses, minor leakage without obscuring the arteriotomy edges was observed during anastomotic suturing. Histologic examination revealed no intimal tear or dissection caused by the anastomotic procedure.
Conclusions. In postmortem-obtained arteriosclerotic human coronary arteries, the temporary luminal arteriotomy seal provided optimal visualization of the coronary anastomosis site in combination with persistent distal perfusion.</description><subject>Aged</subject><subject>anastomosis</subject><subject>Anastomosis, Surgical - methods</subject><subject>Biological and medical sciences</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Vessels - pathology</subject><subject>experimental</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Polyurethanes</subject><subject>postmortem</subject><subject>Pressure</subject><subject>shunt</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Suture Techniques</subject><subject>Tissue Adhesives</subject><subject>Tunica Intima - pathology</subject><subject>vascular surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtP3DAURq2KCqbAT6DKAlXtItSO7ZuYDapQHyMhUQnYsLEc50Z1FcdTO6k0_76eR4EdqyvrO_fhQ8gZoxeMMvh8RynlpVC1_KiaT5RVHEr-hiyYlFUJlVQHZPGEHJF3Kf3OzyrHh-SIUdqA5HJBHu_Rr0I0cV0Ms3ejGQoTJ4wuTMGvi4RmuCyWy-VF8TOkyYec-f9EsgPGMDlb_Jq9GQsbYhg3k7b5-oS87c2Q8HRfj8nDt6_31z_Km9vvy-svN6UVlZxKa0C0WFEOPTN1K1mN0HLLoM3_VFQgSBSqUxxr2VSgpLCsZ43kDbQgRMePyYfd3FUMf2ZMk_YuWRwGM2KYkwYFglKADModaGNIKWKvV9H5fLBmVG-k6q1UvTGmVaO3UjXPfe_3C-bWY_eia2cxA-d7wCRrhj6a0br0zIES9Ra72mGYbfx1GHWyDkeLnYtoJ90F98ol_wDTHZOV</recordid><startdate>1999</startdate><enddate>1999</enddate><creator>Heijmen, Robin H</creator><creator>Borst, Cornelius</creator><creator>Mouës, Chantal M</creator><creator>van der Helm, Yvonne J.M</creator><creator>Gründeman, Paul F</creator><creator>Pasterkamp, Gerard</creator><general>Elsevier Inc</general><general>Elsevier Science</general><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>1999</creationdate><title>Temporary luminal arteriotomy seal: III. Postmortem arteriosclerotic human coronary artery</title><author>Heijmen, Robin H ; Borst, Cornelius ; Mouës, Chantal M ; van der Helm, Yvonne J.M ; Gründeman, Paul F ; Pasterkamp, Gerard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-ca64be2036f1a7b517e6b3c16b101904e65e49d93e75826954c1f185386b644d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>anastomosis</topic><topic>Anastomosis, Surgical - methods</topic><topic>Biological and medical sciences</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary Vessels - pathology</topic><topic>experimental</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Polyurethanes</topic><topic>postmortem</topic><topic>Pressure</topic><topic>shunt</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Suture Techniques</topic><topic>Tissue Adhesives</topic><topic>Tunica Intima - pathology</topic><topic>vascular surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heijmen, Robin H</creatorcontrib><creatorcontrib>Borst, Cornelius</creatorcontrib><creatorcontrib>Mouës, Chantal M</creatorcontrib><creatorcontrib>van der Helm, Yvonne J.M</creatorcontrib><creatorcontrib>Gründeman, Paul F</creatorcontrib><creatorcontrib>Pasterkamp, Gerard</creatorcontrib><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 Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heijmen, Robin H</au><au>Borst, Cornelius</au><au>Mouës, Chantal M</au><au>van der Helm, Yvonne J.M</au><au>Gründeman, Paul F</au><au>Pasterkamp, Gerard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Temporary luminal arteriotomy seal: III. Postmortem arteriosclerotic human coronary artery</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1999</date><risdate>1999</risdate><volume>67</volume><issue>1</issue><spage>120</spage><epage>123</epage><pages>120-123</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. Recently, we described a temporary luminal arteriotomy seal that provided a bloodless arteriotomy without obstructing recipient artery blood flow during bypass grafting in nonarteriosclerotic porcine arteries. This postmortem study assessed the sealing properties in irregular arteriosclerotic human coronary arteries.
Methods. Three hearts were obtained from donated corpses within 24 hours of death. The coronary arteries were pressure-perfused at 60 mm Hg with citrated porcine blood. At 15 anastomosis sites in four different coronary arteries, an end-to-side anastomosis was created using a 200-μm-thick polyurethane seal. Adequacy of sealing was determined at perfusion pressures of 60, 40, and 20 mm Hg.
Results. After insertion, the arteriotomy was sealed instantaneously in 10 of 15 anastomoses. After repositioning, complete sealing with a bloodless operative field was obtained in all cases. Low intracoronary transmural pressure did not impede sealing. In 8 of 15 anastomoses, minor leakage without obscuring the arteriotomy edges was observed during anastomotic suturing. Histologic examination revealed no intimal tear or dissection caused by the anastomotic procedure.
Conclusions. In postmortem-obtained arteriosclerotic human coronary arteries, the temporary luminal arteriotomy seal provided optimal visualization of the coronary anastomosis site in combination with persistent distal perfusion.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10086535</pmid><doi>10.1016/S0003-4975(98)01236-3</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged anastomosis Anastomosis, Surgical - methods Biological and medical sciences Coronary Artery Bypass - methods Coronary Artery Disease - surgery Coronary Vessels - pathology experimental Female Humans Male Medical sciences Polyurethanes postmortem Pressure shunt Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Suture Techniques Tissue Adhesives Tunica Intima - pathology vascular surgery |
| title | Temporary luminal arteriotomy seal: III. Postmortem arteriosclerotic human coronary artery |
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