[Off-pump coronary artery bypass grafting using donut and SPY]

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Cardiac Surgery

Context:

• Off-pump coronary artery bypass grafting (OPCAB) is increasingly adopted due to reduced invasiveness and complications.
• Graft patency in OPCAB is highly dependent on surgical technique and operator skill.
• Technical challenges in OPCAB can impact the success of complete revascularization.

Purpose:

• To detail operative procedures for achieving 100% success in OPCAB for isolated coronary artery disease.
• To highlight the role of specialized devices in overcoming technical difficulties in OPCAB.
• To emphasize the importance of intra-operative imaging for ensuring graft patency.

Summary:

• The Donut Heart Stabilizer provides a stable operative field for precise anastomosis of small coronary arteries (<1 mm).
• This stabilizer facilitates complete revascularization, enabling OPCAB with up to 9 arterial grafts.
• The SPY Intra-operative Imaging System is crucial for real-time graft assessment, preventing complications and ensuring 100% patency.

Impact:

• Successful OPCAB with high graft patency can be achieved through the combined use of the Donut Heart Stabilizer and SPY Imaging.
• Improved surgical techniques and device utilization enhance patient outcomes in coronary artery bypass grafting.
• The Donut 2 Heart Stabilizer offers an enhanced, stable field for complex OPCAB procedures.