Flow simulation of the intracoronary shunt tube for off-pump coronary artery bypass

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Flow simulation of the intracoronary shunt tube for off-pump coronary artery bypass.

INTRODUCTION To simulate blood flow provided by the intracoronary shunt tube, and to clarify whether this method is actually suitable for Off-pump coronary artery bypass (OPCAB), we investigated the efficacy of the intracoronary shunt tube in a theoretical model on the basis of fluid dynamics. METHODS Fluid dynamics analysis was performed to simulate flow decrease after attachment on an intra...

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Influence of intracoronary shunt size on coronary endothelial function during off-pump coronary artery bypass.

OBJECTIVE The insertion of intracoronary shunts during off-pump coronary artery bypass surgery may induce severe endothelial dysfunction in the target arteries. The purpose of this study was to determine the role of the ratio of the shunt diameter to the target artery diameter in the development of endothelial dysfunction and to develop guidelines for selecting the most appropriate shunt size. ...

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Techniques and results of off-pump coronary artery bypass grafting using homemade intracoronary shunt.

BACKGROUND The outcome of the off-pump coronary artery bypass grafting (CABG) is highly dependent on surgical techniques. To overcome problems of intraoperative hemodynamic instability and avoid potential injury to coronary artery arising from occlusive technique, the authors have modified the strategy of performing distal anastomosis by using the authors' homemade intracoronary artery shunt. ...

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Intracoronary shunt prevents ischemia in off-pump coronary artery bypass surgery.

BACKGROUND The purpose of this study was to evaluate the role of intracoronary shunt during off-pump coronary artery bypass surgery. METHODS Fifty-six patients undergoing off-pump coronary artery bypass using the left internal mammary artery to bypass the left anterior descending coronary artery were randomly assigned to have the bypass performed with intracoronary shunt or by occlusive snari...

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Perfusion flow assessment of coronary shunt during off-pump coronary artery bypass grafting.

BACKGROUND Coronary shunts are widely used to prevent myocardial ischemia during off-pump coronary artery bypass graft (OPCAB) procedures. Although clinical effectiveness has been reported, actual perfusion flow has not been well assessed. The purpose of this study was to evaluate actual shunt flow and its pattern during passive coronary perfusion in clinical OPCAB. METHODS In 15 OPCAB cases,...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2003

ISSN: 1010-7940

DOI: 10.1016/s1010-7940(03)00086-1