Related Experiment Video
Updated: Jun 22, 2026
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Use of skeletonized radial artery graft with the PAS-Port proximal anastomotic device
Shohjiro Yamaguchi1, Go Watanabe, Shigeyuki Tomita
1Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan. gucci-s@ya2.so-net.ne.jp
Purpose:
We report our initial experience with the PAS-Port proximal anastomosis system (Cardica Inc, Redwood City, CA) using full-skeletonized radial artery (RA) in patients requiring off-pump coronary artery bypass grafting.
Description:
The PAS-Port system (Cardica Inc) was used in 25 patients undergoing off-pump coronary artery bypass surgery. All patients received at least one RA graft using the PAS-Port system on the proximal anastomosis. The radial arteries were harvested in a fully skeletonized fashion before loading to the PAS-Port system.
Evaluation:
Our attempt to use the PAS-Port system for proximal anastomosis of the RA was successful in 25 anastomoses. Postoperative angiography showed 24 grafts to be widely patent. During the mean postoperative follow-up of 9.2 +/- 3.1 months, there was no cardiac-related event in any patient. Mid-term patency collected from the first 8 patients was 87.5% (mean follow-up, 12.8 +/- 2.8 months).
Conclusions:
The PAS-Port system does not require aortic clamping and enables the creation of uniform and widely patent anastomosis with use of RA grafts.
