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Updated: May 4, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
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Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

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Anastomotic devices in coronary artery surgery: it is about the anastomosis?

Nirav C Patel1, Jonathan M Hemli

  • 1Department of Cardiothoracic Surgery, Lenox Hill Hospital, New York, NY, USA.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 16, 2014
PubMed

Insights

Anastomotic devices improve surgical coronary revascularization by creating faster, reproducible connections. These devices enhance graft patency and patient outcomes in cardiac surgery.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Technology

Background:

  • Long-term graft patency is crucial for coronary revascularization success.
  • Variability in surgical technique can negatively impact graft patency and patient outcomes.
  • Manual anastomosis construction presents technical challenges and potential hazards.

Purpose of the Study:

  • To review commonly used anastomotic devices in adult cardiac surgery.
  • To highlight the role of anastomotic devices in improving surgical outcomes.
  • To discuss the benefits of anastomotic devices in mitigating risks associated with manual anastomosis.

Main Methods:

  • Review of three commonly employed anastomotic devices.
  • Analysis of device application in adult cardiac surgical practice.
  • Discussion of device-facilitated anastomosis creation.

Main Results:

  • Anastomotic devices facilitate rapid, reproducible anastomoses.
  • Devices can be used on- or off-pump, in difficult-to-access areas, and with minimal incisions.
  • Potential benefits include neuro-protection and mitigation of hazards from manual anastomosis.

Conclusions:

  • Anastomotic devices offer a valuable tool for enhancing coronary revascularization.
  • These devices contribute to improved graft patency and patient outcomes.
  • Their use can standardize and improve the safety of anastomosis creation in cardiac surgery.

Keywords:
AnastomosisC-Port® distal anastomosis deviceConnectorsHeartstring®Off-pumpPAS-Port® proximal anastomosis deviceStroke

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