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Biomedical subjects

S Bakhshay

Publications and source records attributed to S Bakhshay.

4 recordsLinked to original sources
PubMed1998

Temporary coronary artery perfusion catheter during minimally invasive coronary surgery.

STUDY OBJECTIVE: The purpose of this study was to investigate the use of an intracoronary cannula during minimally invasive direct coronary artery bypass (MIDCAB) surgery. DESIGN: Evaluation of the coronary perfusion catheter was conducted during MIDCAB surgery to determine if there was any trauma to the coronary artery. The study was retrospective with 45% follow-up arteriograms. SETTING: A community hospital provided the setting for the study. Twenty patients undergoing MIDCAB surgery were included. INTERVENTIONS: Insertion of an intracoronary cannula was performed during MIDCAB surgery. MEASUREMENTS AND RESULTS: Measurements were determined on 45% follow-up arteriograms, and clinical follow-up was done on patient status. CONCLUSION: The use of an intracoronary cannula during MIDCAB surgery did not result in any trauma to the cannulated coronary artery. The cannula prevented ischemia of the service area of the target coronary artery. ECG changes were avoided as were hypotension and arrhythmias. The cannula also helped stabilize the target coronary area during suturing.

Adult↗
PubMed1997

Minimally invasive direct coronary artery bypass surgery.

Traditional coronary artery bypass surgery involves a median sternotomy and the use of a heart-lung machine to stabilize the heart during suturing. Minimally invasive coronary artery surgery employs small incisions directly over the target vessels and avoids the use of a heart-lung machine, which can cause postoperative complications. The target coronary vessels are stabilized in alternative ways, potentially hazardous manipulation of the ascending aorta is avoided, and the subclavian and axillary arteries provide alternative inflow sources. Other new techniques used in minimally invasive procedures include a coronary artery cannula to avoid intraoperative ischemia and wound irrigation catheters to administer postoperative bupivacaine hydrochloride. Perioperative nurses need to become familiar with these new techniques to be able to plan and implement effective patient care.

Coronary Artery Bypass↗