TY - JOUR
T1 - An experimental model of saphenous vein-to-coronary artery anastomosis with the St. Jude Medical stainless steel connector
AU - Schaff, Hartzell V.
AU - Zehr, Kenton J.
AU - Bonilla, Luis F.
AU - Brennecke, Lucas H.
AU - Berg, Todd
AU - Cornelius, Rick
AU - Hindrichs, Paul
AU - Swanson, William
N1 - Funding Information:
This study was funded by St. Jude Medical Cardiovascular Group, Inc, Minneapolis, Minnesota.
PY - 2002
Y1 - 2002
N2 - Background. A new stainless steel anastomosis device developed by St. Jude Medical Cardiovascular Group was studied in a canine model. Methods. In 12 dogs, coronary saphenous vein grafts were made to the left anterior descending coronary artery and to the circumflex coronary artery; one anastomosis was completed with the St. Jude Medical stainless steel connector device, and the other with conventional suturing. A 30-day coronary angiogram was performed in surviving animals, and, after sacrifice, anastomoses were measured, examined grossly, and submitted for histologic study. Results. All 12 animals survived the procedure, and 9 survived to sacrifice at 30 days. Comparing the connector grafts and sutured grafts, no significant differences were found between vessel diameters, intraoperative graft flows, graft patency, and histology. The average loading time for the connector was 8.5 minutes (range 4 to 16 minutes). Mean time for the 12 connector anastomoses was 3 minutes (range 2 to 5 minutes) compared with 8.4 minutes for suture (range 4 to 13 minutes). Conclusions. The side-to-side stainless steel connector anastomotic device produces a secure anastomosis with minimal variability; compared with suture methods, it is expeditious and has comparable 30-day histology and angiographic results. It promises to be an important addition to the surgical armamentarium for the treatment of coronary artery disease.
AB - Background. A new stainless steel anastomosis device developed by St. Jude Medical Cardiovascular Group was studied in a canine model. Methods. In 12 dogs, coronary saphenous vein grafts were made to the left anterior descending coronary artery and to the circumflex coronary artery; one anastomosis was completed with the St. Jude Medical stainless steel connector device, and the other with conventional suturing. A 30-day coronary angiogram was performed in surviving animals, and, after sacrifice, anastomoses were measured, examined grossly, and submitted for histologic study. Results. All 12 animals survived the procedure, and 9 survived to sacrifice at 30 days. Comparing the connector grafts and sutured grafts, no significant differences were found between vessel diameters, intraoperative graft flows, graft patency, and histology. The average loading time for the connector was 8.5 minutes (range 4 to 16 minutes). Mean time for the 12 connector anastomoses was 3 minutes (range 2 to 5 minutes) compared with 8.4 minutes for suture (range 4 to 13 minutes). Conclusions. The side-to-side stainless steel connector anastomotic device produces a secure anastomosis with minimal variability; compared with suture methods, it is expeditious and has comparable 30-day histology and angiographic results. It promises to be an important addition to the surgical armamentarium for the treatment of coronary artery disease.
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U2 - 10.1016/S0003-4975(01)03445-2
DO - 10.1016/S0003-4975(01)03445-2
M3 - Article
C2 - 11899187
AN - SCOPUS:0036189143
SN - 0003-4975
VL - 73
SP - 830
EP - 836
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 3
ER -