Coronary connector devices: analysis of 1,469 anastomoses in 1,216 patients

W.J.L. Suyker; C. Borst

doi:10.1016/j.athoracsur.2008.01.015

Coronary connector devices: analysis of 1,469 anastomoses in 1,216 patients

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Automated coronary anastomotic devices could be the key to limited or port access procedures. To evaluate their clinical performance to date, 33 studies that included systematic elective angiographic imaging were reviewed, reporting on five proximal and seven distal devices. Marked outcome differences between the technologies were uncorrelated to study type and demographic, operative, and follow-up variables. Significant issues included graft thrombosis, graft kinking, and stenosing intimal hyperplasia inside the connector, limiting clinical applicability of at least three devices. Substantial equivalence to 1-year conventional anastomotic patency standards was found for selected anastomotic devices, which holds the promise of expanded applicability.

Original language	English
Pages (from-to)	1828-1836
Number of pages	9
Journal	Annals of Thoracic Surgery
Volume	85
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2008.01.015
Publication status	Published - 2008

Keywords

Aged
Anastomosis, Surgical
Coronary Angiography
Coronary Artery Bypass, Off-Pump
Coronary Disease
Equipment Design
Feasibility Studies
Female
Fibromuscular Dysplasia
Graft Occlusion, Vascular
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Minimally Invasive Surgical Procedures
Outcome Assessment (Health Care)
Postoperative Complications
Suture Techniques
Tomography, Spiral Computed

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10.1016/j.athoracsur.2008.01.015

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T11-4SC7BMY-34&_user=3021449&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000021878&_version=1&_urlVersion=0&_userid=3021449&md5=3f1383127a710c8b78a047fe90c2c47f

Cite this

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title = "Coronary connector devices: analysis of 1,469 anastomoses in 1,216 patients",

abstract = "Automated coronary anastomotic devices could be the key to limited or port access procedures. To evaluate their clinical performance to date, 33 studies that included systematic elective angiographic imaging were reviewed, reporting on five proximal and seven distal devices. Marked outcome differences between the technologies were uncorrelated to study type and demographic, operative, and follow-up variables. Significant issues included graft thrombosis, graft kinking, and stenosing intimal hyperplasia inside the connector, limiting clinical applicability of at least three devices. Substantial equivalence to 1-year conventional anastomotic patency standards was found for selected anastomotic devices, which holds the promise of expanded applicability.",

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author = "W.J.L. Suyker and C. Borst",

year = "2008",

doi = "10.1016/j.athoracsur.2008.01.015",

language = "English",

volume = "85",

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journal = "Annals of Thoracic Surgery",

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T2 - analysis of 1,469 anastomoses in 1,216 patients

AU - Suyker, W.J.L.

AU - Borst, C.

PY - 2008

Y1 - 2008

N2 - Automated coronary anastomotic devices could be the key to limited or port access procedures. To evaluate their clinical performance to date, 33 studies that included systematic elective angiographic imaging were reviewed, reporting on five proximal and seven distal devices. Marked outcome differences between the technologies were uncorrelated to study type and demographic, operative, and follow-up variables. Significant issues included graft thrombosis, graft kinking, and stenosing intimal hyperplasia inside the connector, limiting clinical applicability of at least three devices. Substantial equivalence to 1-year conventional anastomotic patency standards was found for selected anastomotic devices, which holds the promise of expanded applicability.

AB - Automated coronary anastomotic devices could be the key to limited or port access procedures. To evaluate their clinical performance to date, 33 studies that included systematic elective angiographic imaging were reviewed, reporting on five proximal and seven distal devices. Marked outcome differences between the technologies were uncorrelated to study type and demographic, operative, and follow-up variables. Significant issues included graft thrombosis, graft kinking, and stenosing intimal hyperplasia inside the connector, limiting clinical applicability of at least three devices. Substantial equivalence to 1-year conventional anastomotic patency standards was found for selected anastomotic devices, which holds the promise of expanded applicability.

KW - Aged

KW - Anastomosis, Surgical

KW - Coronary Angiography

KW - Coronary Artery Bypass, Off-Pump

KW - Coronary Disease

KW - Equipment Design

KW - Feasibility Studies

KW - Female

KW - Fibromuscular Dysplasia

KW - Graft Occlusion, Vascular

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Middle Aged

KW - Minimally Invasive Surgical Procedures

KW - Outcome Assessment (Health Care)

KW - Postoperative Complications

KW - Suture Techniques

KW - Tomography, Spiral Computed

U2 - 10.1016/j.athoracsur.2008.01.015

DO - 10.1016/j.athoracsur.2008.01.015

M3 - Article

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SN - 0003-4975

VL - 85

SP - 1828

EP - 1836

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 5

ER -

Coronary connector devices: analysis of 1,469 anastomoses in 1,216 patients

Abstract

Keywords

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