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PubMed · 10543567

Totally endoscopic myocardial revascularization: an experimental study.

G P Vlassov·N O Travine·K S Deyneka·A S Ermolov·M B Belinskiy·S D Klimovskiy·I V Zhuravlev
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Abstract

BACKGROUND: The purpose of this study was to examine the feasibility of performing totally endoscopic myocardial revascularization through the abdominal cavity. METHODS AND RESULTS: The right gastroepiploic artery was harvested endoscopically through three troacars in 46 human cadavers. Then, a 5-cm hole was made in the diaphragm to expose the right coronary artery. With the help of two vacuum pods, we fixed a site of the right coronary artery and made a right gastroepiploic artery-right coronary artery anastomosis. In 20 cases, continuous Prolene suture was used, and in 26 experiments, we applied a sutureless technique. Twenty-three anastomosis were patent. CONCLUSIONS: Despite the low patency rate, the transabdominal approach of totally endoscopic bypass grafting is promising and demands further investigation.

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Anastomosis, SurgicalArteriesCoronary Artery BypassEndoscopesEndoscopyFeasibility StudiesHumansSurgical InstrumentsJournal Article

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BibTeXRIS

G P Vlassov, N O Travine, K S Deyneka, A S Ermolov, M B Belinskiy, S D Klimovskiy, I V Zhuravlev. 1999. Totally endoscopic myocardial revascularization: an experimental study.. https://doi.org/10.1016/s0003-4975(99)00933-9

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