Related Experiment Video
Updated: Apr 16, 2026
Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
Published on: November 24, 2014
A simple method for proximal anastomoses marking during CABG for future coronary angiography
Liran Shani1, Arthur Kerner2, Gil Bolotin3
1Department of Cardiac Surgery, Rambam Health Care Campus, Haifa, Israel l_shani@rambam.health.gov.il.
Insights
A novel technique using hemostatic clips simplifies marking aortic proximal anastomoses after coronary artery bypass surgery. This safe and fast method improves visualization during angiography, aiding interventional cardiologists.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Imaging
Background:
- Evaluating aortic proximal anastomoses after coronary artery bypass surgery (CABG) presents challenges for interventional cardiologists during angiography.
- Accurate visualization of these anastomoses is crucial for assessing graft patency and patient outcomes.
Purpose of the Study:
- To present a simple, safe, and fast technique for marking aortic proximal anastomoses using hemostatic clips.
- To improve the visualization of these critical surgical sites during follow-up angiography.
Main Methods:
- A technique involving the application of medium-sized hemoclips to aortic proximal anastomoses was developed.
- The effectiveness of these hemoclips as radiopaque markers was evaluated during fluoroscopy.
Main Results:
- Successful visualization of the graft markers (hemoclips) was consistently achieved during fluoroscopy.
- The technique proved to be straightforward and did not require additional surgical training for implementation.
Conclusions:
- Hemostatic clips provide a simple, safe, and effective method for marking aortic proximal anastomoses in patients undergoing CABG.
- This technique enhances visualization during angiography, offering a valuable tool for interventional cardiologists in patient follow-up.
Abstract:
Evaluation of aortic proximal anastomoses in patients who have undergone coronary artery bypass surgery poses a special challenge to the interventional cardiologist during follow-up angiography procedures. We present a simple, safe, and fast technique for proximal anastomoses marking using hemostatic clips. Successful visualization of the graft marker was achieved using medium-sized hemoclips during fluoroscopy. The use of hemoclips for this procedure proved to be straightforward and required no additional surgical training.
