Anastomotic Devices for Coronary Artery Bypass Grafting: Technological Options and Potential Pitfalls

Comput Biol Med. 2007 Oct;37(10):1384-93. doi: 10.1016/j.compbiomed.2006.11.005. Epub 2007 Jan 19.

Abstract

With the advent of off-pump coronary artery bypass grafting and minimally invasive coronary artery bypass grafting, significant efforts have been made to facilitate construction of the graft to coronary anastomosis. As a result, a number of anastomotic devices have been developed. While the ideal anastomotic device should be easy to use, to produce a geometrically optimal anastomosis with minimal endothelial damage and minimal blood-exposed non-intimal surface, a number of design constraints apply. This review collects the available pre-clinical and clinical data for some of the devices with special regard for surgical outcome, patency rate and the need for additional perioperative anticoagulation treatment.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical / instrumentation*
  • Animals
  • Coronary Artery Bypass / instrumentation*
  • Coronary Artery Bypass, Off-Pump / instrumentation
  • Coronary Vessels / surgery
  • Equipment Design
  • Humans
  • Mammary Arteries / surgery
  • Minimally Invasive Surgical Procedures / instrumentation
  • Saphenous Vein / surgery
  • Surgical Instruments