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Eur J Cardiothorac Surg 1999;15:206-208
© 1999 Elsevier Science NL


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A new method for coronary occlusion and local stabilization during minimally invasive LIMA-to-LAD-bypass

Friedrich-Christian Riess*, Niels Bleese, Andreas G. Riess

Department of Cardiac Surgery, Abteilung für Herzchirurgie, Albertinen-Krankenhaus, Suentelstrasse 11 a, 22457 Hamburg, Germany

Received 28 September 1998; received in revised form 23 November 1998; accepted 1 December 1998.

* Corresponding author. Tel.: +49-40-5588-2445; fax: +49-40-5588-2421; e-mail: heartadw@aol.com

The minimally invasive direct coronary occlusion and stabilizing technique (midCOAST)-system, a new device for coronary occlusion and local stabilization during minimally invasive LIMA-to-LAD-bypass is presented. A closed platform with an oval opening in its center provides optimal immobilization together with platform-fixed vessel-loops, which are used for LAD-occlusion. Clinical results in 72 consecutive patients indicate that the midCOAST-device can be safely and effectively used for minimally invasive LIMA-to-LAD-procedure, even in patients with impaired left ventricular function. Due to the optimal immobilization of the target area the quality of the LIMA-to-LAD-anastomosis, documented by post-operative angiography (62/72), was excellent in all cases.

Key Words: Minimally invasive coronary surgery • Beating heart surgery • Local stabilization • Stabilizer • Minimally invasive direct coronary occlusion and stabilizing technique




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Ann. Thorac. Surg.Home page
F.-C. Riess, R. Bader, P. Kremer, C. Kuhn, J. Kormann, D. Mathey, S. Moshar, T. Tuebler, N. Bleese, and J. Schofer
Coronary hybrid revascularization from January 1997 to January 2001: a clinical follow-up
Ann. Thorac. Surg., June 1, 2002; 73(6): 1849 - 1855.
[Abstract] [Full Text] [PDF]




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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.