Off-Pump Arterial Revascularization Using a New Reusable Device for Coronary Occlusion and Local Stabilization

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Cardiac Surgery

Background:

• Optimal local stabilization, unobstructed view, and free operative field are crucial for high-quality anastomoses in off-pump surgery.
• Complete arterial off-pump coronary revascularization requires specialized tools to address these challenges.

Purpose of the Study:

• To introduce and evaluate a novel reusable stabilizing platform designed for complete off-pump coronary revascularization.
• To assess the platform's effectiveness in providing stabilization and improving surgical access.

Main Methods:

• 118 consecutive patients underwent complete off-pump arterial revascularization using the new platform.
• Deep pericardial slings facilitated coronary vessel exposure.
• The target coronary vessel was secured to the platform using silicone loops, connected to a flexible arm.

Main Results:

• All operations were completed without intraoperative complications, with all planned bypasses performed.
• The mean number of bypass grafts was 1.7.
• No early mortality (30 days) was observed; the postoperative course was largely uneventful.

Conclusions:

• The new reusable platform facilitates safe and effective complete arterial off-pump coronary revascularization.
• The platform provides excellent stabilization and an unobstructed view of target coronary vessels.
• This technology enhances the surgical procedure for coronary artery bypass grafting.