A Safe Technique for Using an Enclose II Anastomosis Assist Device During Off-Pump Coronary Bypass

Area of Science:

• Cardiovascular Surgery
• Medical Device Technology
• Surgical Techniques

Background:

• Proximal anastomosis in coronary artery bypass grafting (CABG) traditionally requires aortic clamping.
• Several devices aim to facilitate clampless, hand-sewn anastomosis to the ascending aorta.
• The Enclose II anastomosis assist device is a commonly used tool for this procedure.

Purpose of the Study:

• To present a new, straightforward, and secure method for preparing the aorta for clampless anastomosis.
• To improve the efficiency of creating a punch hole in the aorta for bypass surgery.

Main Methods:

• Demonstration of a novel technique for incising the aortic wall.
• Description of a new method for creating a precise punch hole in the aorta.
• Utilizing the Enclose II anastomosis assist device for clampless anastomosis.

Main Results:

• The presented technique offers a simplified approach to aortic wall preparation.
• The method is demonstrated to be easy and safe to perform.
• Facilitates the creation of a clampless, hand-sewn coronary artery bypass-to-ascending aorta anastomosis.

Conclusions:

• A new, easy, and safe technique for aortic wall preparation in clampless CABG has been developed.
• This technique complements existing anastomosis assist devices like the Enclose II.
• The method has the potential to streamline surgical procedures and improve patient outcomes.