Skeletonization with an ultrasonic scalpel is as safe as a non-skeletonized dissection in preserving the endothelial function of the human gastroepiploic artery.

Abstract:

:The right gastroepiploic artery (GEA) is frequently used as another in situ artery, other than the internal thoracic artery (ITA) in coronary artery bypass grafting (CABG). Skeletonizing the graft with an ultrasonic scalpel is now regarded as a useful technique; however, this technique may damage the endothelial function during harvesting the graft resulting in postoperative graft stenosis or occlusion. In the present study, GEA segments from nine patients were excised in both a skeletonized and non-skeletonized manner with an ultrasonic scalpel, and then were transported to the laboratory. The vessels were trimmed as rings, and were allotted to the group of skeletonized or non-skeletonized, accordingly. The force development in response to 1 mumol/l norepinephrine did not differ between the skeletonized and non-skeletonized groups. Endothelium-dependent relaxation induced by either acetylcholine or bradykinin was not impaired in the skeletonized group in comparison to the non-skeletonized group. No significant difference was observed in endothelium-independent relaxation elicited by sodium nitroprusside. Therefore, the skeletonization of the GEA with an ultrasonic scalpel was thus found to be as safe as a non-skeletonized dissection in preserving the vascular contractile ability or endothelium-dependent and -independent relaxation of the graft.

authors

Shi J,Iesaki T,Kubota N,Sumiyoshi K,Kajimoto K,Kikuchi K,Daida H,Amano A

doi

10.1510/icvts.2008.186262

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

216-20

issue

2

eissn

1569-9293

issn

1569-9285

pii

icvts.2008.186262

journal_volume

8

pub_type

杂志文章
  • Effect of body mass index and device type on infection in left ventricular assist device support beyond 30 days.

    abstract::Infection as a complication of long-term left ventricular assist device (LVAD) support leads to significant morbidity and mortality. Obesity, a possible risk factor for other postoperative cardiovascular surgical site infections, is an increasingly prevalent condition among recipients of LVAD devices. We retrospective...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.227801

    authors: Martin SI,Wellington L,Stevenson KB,Mangino JE,Sai-Sudhakar CB,Firstenberg MS,Blais D,Sun BC

    更新日期:2010-07-01 00:00:00

  • An aorto-oesophageal fistula caused by a fish bone resulting in an accidental discovery of an invasive adenocarcinoma in the lung.

    abstract::An aorto-oesophageal fistula is a rare, life-threatening complication caused by sharp foreign bodies in the oesophagus. We report an aorto-oesophageal fistula in the inferior segment of thoracic oesophagus caused by a fish bone. Multiplanar reconstruction of computed tomography and computed tomography angiography demo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx362

    authors: Zhang BL,Sun JN,Liu NN,Cao FZ

    更新日期:2018-03-01 00:00:00

  • The impact of cardiopulmonary bypass management on outcome: a propensity matched comparison between minimally invasive and conventional valve surgery.

    abstract:OBJECTIVES:Research concerning cardiopulmonary bypass (CPB) management during minimally invasive cardiac surgery (MICS) is scarce. We investigated the effect of CPB parameters such as pump flow, haemoglobin concentration and oxygen delivery on clinical outcome and renal function in a propensity matched comparison betwe...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa052

    authors: Vandewiele K,De Somer F,Vandenheuvel M,Philipsen T,Bové T

    更新日期:2020-07-01 00:00:00

  • Successful replacement of a HeartAssist 5 ventricular assist device with a HeartWare without removal of the original sewing/attachment rings: how to do it.

    abstract::Despite technological advances in a newer generation of ventricular assist devices (VAD), complications, such as pump thromboses, remain a significant cause of morbidity and indeed mortality in these patients. We present the case of a 34-year old patient who underwent HeartAssist 5 (HA5) implantation as a bridge to ca...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt066

    authors: García Sáez D,Mohite P,Zych B,Sabashnikov A,Simon AR

    更新日期:2013-06-01 00:00:00

  • Outcome after redo-mitral valve replacement in adult patients: a 10-year single-centre experience.

    abstract::The aim of this study was to investigate the overall outcome of adult patients undergoing redo-mitral valve replacement (redo-MVR) at our institution. Forty-nine patients (24 males) underwent redo-MVR with either bioprosthetic (n = 24) or mechanical valves (n = 25) between January 2000 and 2010. Median age of patients...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs005

    authors: Vohra HA,Whistance RN,Roubelakis A,Burton A,Barlow CW,Tsang GM,Livesey SA,Ohri SK

    更新日期:2012-05-01 00:00:00

  • Is carotid artery stenting equivalent or superior to carotid endarterectomy for treatment of carotid artery stenosis?

    abstract::A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether carotid artery stenting (CAS) is equivalent or even superior to carotid endarterectomy (CEA) for the treatment of significant carotid artery stenosis. Four hundred and ninety-four papers were id...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.117358

    authors: Shrivastava V,Sookhoo S,Macdonald S,Dunning J

    更新日期:2005-12-01 00:00:00

  • A prospective randomized study to evaluate the renal impact of surgical revascularization strategy in diabetic patients.

    abstract::Acute kidney injury (AKI) is a major postoperative complication following cardiac surgery. Diabetes mellitus is a major cause of nephropathy and end-stage renal failure. We aimed to evaluate the occurrence of adverse renal outcomes, in diabetic patients, between on-pump (CPB) and off-pump (OPCAB) coronary artery bypas...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2009.230839

    authors: Modine T,Zannis C,Salleron J,Provot F,Gourlay T,Duhamel A,Koussa M,Fayad G

    更新日期:2010-10-01 00:00:00

  • Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure.

    abstract:OBJECTIVES:The aim of this study is to assess the immediate and mid-term results of hypogastric artery bypass (HAB) in open repair of abdominal aortic aneurysm (AAA). METHODS:The clinical data of 24 patients with an average age of 70.4 years [standard deviation (S.D.)+/-8.1 years] with AAA treated between January 2005...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.216846

    authors: Milite D,Campanile F,Tosato F,Pilon F,Zaramella M

    更新日期:2010-05-01 00:00:00

  • Sex-specific outcome after minimally invasive direct coronary artery bypass for single-vessel disease.

    abstract:OBJECTIVES:Female gender is reported as an independent risk factor for a poor outcome after coronary artery bypass grafting. We analysed the influence of gender on surgical outcome in patients with single-vessel disease undergoing minimally invasive direct coronary artery bypass (MIDCAB). METHODS:From January 1998 to ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz279

    authors: Friedrich C,Berndt R,Haneya A,Rusch R,Petzina R,Freitag-Wolf S,Cremer J,Hoffmann G

    更新日期:2020-03-01 00:00:00

  • Strangulation of aberrant artery in extralobar pulmonary sequestration on video imaging.

    abstract::We report a case of an 18-year old female patient with symptomatic extralobar pulmonary sequestration. The initial symptom was sudden-onset right lateral abdominal pain. Enhanced computed tomography showed a 5 cm in diameter, spindle-shaped mass located in the costophrenic sinus with no aberrant artery. Exploratory th...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu103

    authors: Nakano T,Tetsuka K,Yamamoto S,Endo S

    更新日期:2014-08-01 00:00:00

  • Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations.

    abstract::Multiple bilateral pulmonary arterio-venous malformations (PAVM) were diagnosed in a 15-year-old girl with erythrocytosis. Although transcatheter embolotherapy is generally accepted as a treatment of PAVM, the largest lesion in the right lower lobe was fed by a 13-mm diameter feeding artery without downstream narrowin...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.07.003

    authors: Kohno M,Noda K,Moriyama H,Nishimura Y

    更新日期:2004-12-01 00:00:00

  • Prognostic significance and possibility in guiding adjuvant therapy of the pleural lavage cytology in patients with non-small cell lung cancer.

    abstract::Pleural lavage cytology (PLC) has been reported to be a significant prognostic factor in patients with operable non-small cell lung cancer (NSCLC). PLC may detect micro metastasis in patients without apparent pleural effusion or dissemination. Although many studies have reported PLC as a good predictor of postoperativ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.185702

    authors: Nakamura T,Suzuki K,Mochizuki T,Ohde Y,Kobayashi H,Nakamura H,Toyoda F

    更新日期:2009-03-01 00:00:00

  • Intrathoracic migration of Steinman wire.

    abstract::We report two cases of intrathoracic migration of Steinman wire used for the treatment of the fracture and shoulder dislocation. The migrations were symptomatic with back pain in our cases. The treatment involved removing of the pin via thoracotomy. The postoperative course was uneventful. Intrathoracic migration of S...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00047-1

    authors: Sarper A,Urgüden M,Dertsiz L,Demircan A

    更新日期:2003-06-01 00:00:00

  • Static sac size with a type II endoleak post-endovascular abdominal aortic aneurysm repair: surveillance or embolization?

    abstract::A best evidence topic was written according to a structured protocol. The question addressed was whether embolization is superior to surveillance for a type II endoleak associated with a static sac size post-endovascular abdominal aortic aneurysm repair (EVAR). Four hundred and sixty-one papers were identified, of whi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs201

    authors: Patatas K,Ling L,Dunning J,Shrivastava V

    更新日期:2012-09-01 00:00:00

  • Spontaneous bronchopleural fistula following lung volume reduction surgery for emphysema.

    abstract::Five days following bilateral thoracoscopic lung volume reduction surgery for emphysema, a 63-year-old man underwent reoperation for closure of a massive bronchopleural fistula. It was discovered intraoperatively that the fistula was located distant from prior staple lines or resection sites from his surgery. This cas...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.197434

    authors: Kilic A,Sciurba FC,Luketich JD,Gilbert S

    更新日期:2009-04-01 00:00:00

  • Ventricular assist device as a bridge to heart transplantation in children.

    abstract::The ventricular assist device (VAD) is a life-saving option for patients in heart failure refractory for conventional therapy. The aim of study was to assess the influence of VAD on heart transplantation (HT) outcome in children <16 years. Between October 1988 and August 2008, 73 children underwent HT: Group 1 (n=9) w...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.210518

    authors: Januszewska K,Malec E,Birnbaum J,Loeff M,Sodian R,Schmitz C,Netz H,Reichart B

    更新日期:2009-11-01 00:00:00

  • Temporary cardiac support with a mini-circuit system consisting of a centrifugal pump and a membrane ventilator.

    abstract::Commonly used extracorporeal membrane oxygenation (ECMO) systems for cardiac support are limited by bleeding complications, especially after surgery in the adult patient. Recently, we have switched from the use of a conventional ECMO system to a miniature-circuit including a centrifugal pump and the Novalung membrane ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.209783

    authors: Meyer AL,Strueber M,Tomaszek S,Goerler A,Simon AR,Haverich A,Fischer S

    更新日期:2009-11-01 00:00:00

  • Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey.

    abstract::In order to determine anticoagulation strategies in OPCAB a questionnaire survey among 750 European cardio-thoracic surgeons was performed. Questions addressed volume of OPCAB procedures performed, intra- and perioperative heparinization and antiplatelet therapy, as well as perioperative management. A total of 325 (43...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1510/icvts.2007.169086

    authors: Englberger L,Streich M,Tevaearai H,Carrel TP

    更新日期:2008-05-01 00:00:00

  • One-stage repair of an aortic dissection and aortic coarctation.

    abstract::Ascending aortic dissection with aortic coarctation has a high mortality. There are few reports of successful surgical management of the combined condition. We report a case of a successful one-stage repair of type A aortic dissection with aortic coarctation, using an extra-anatomic bypass to connect the ascending to ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.157685

    authors: Cranfield KR,Brackenbury ET,Fraser SC

    更新日期:2008-02-01 00:00:00

  • Effect of cardiac arrest with aortic cross-clamping during left ventricular assist device implantation.

    abstract:OBJECTIVES:Some patients who undergo continuous-flow left ventricular assist device (CF-LVAD) implantation require concomitant procedures that can be performed with or without cardiac arrest under aortic cross-clamping (AXC). Procedures normally performed with cardiac arrest are sometimes avoided or performed without c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz223

    authors: Kawabori M,Kurihara C,Critsinelis A,Chou BP,Zhang Q,Kaku Y,Civitello AB,Morgan JA

    更新日期:2020-01-01 00:00:00

  • Choice of shunt type for the Norwood I procedure: does it make a difference?

    abstract:OBJECTIVES:This study aimed to compare pulmonary artery (PA) growth between patients who received a right ventricle-to-PA (RV-PA) shunt and those who received a modified Blalock-Taussig shunt (mBTS). METHODS:All consecutive patients with hypoplastic left heart syndrome who underwent the Norwood I procedure between 200...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz294

    authors: Vitanova K,Georgiev S,Lange R,Cleuziou J

    更新日期:2020-04-01 00:00:00

  • Use of Amplatzer device for endobronchial closure of bronchopleural fistulas.

    abstract::Postpneumonectomy bronchopleural fistulas (BPFs) remain difficult management problems associated with considerable morbidity and mortality. Traditional therapies have included primary repair or delayed closure with the creation of an Eloesser cavity and tissue flap reinforcement. New bronchoscopic modalities have incl...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.215202

    authors: Gulkarov I,Paul S,Altorki NK,Lee PC

    更新日期:2009-11-01 00:00:00

  • Surgical removal of entrapped and broken percutaneous transluminal coronary angioplasty balloon catheter.

    abstract:OBJECTIVES:The percutaneous coronary artery angioplasty is routinely being used worldwide for the management of short and discrete coronary artery stenosis. The purpose of this report is to address the potentially lethal complication among the variety of surgical problems in conjunction with this procedure. The case al...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.140194

    authors: Singh J,Thingnam SK,Das D,Singh H,Sharma R,Vijayvergia R

    更新日期:2007-02-01 00:00:00

  • A minimally invasive approach for open surgical thoracoabdominal aortic replacement: experimental concept for a novel surgical procedure.

    abstract:Objectives:We aimed to develop a simple, reliable, and timesaving technique for the therapy of thoracoabdominal aortic (TAA) aneurysms that are not suitable for endovascular repair. Methods:In this pilot study, we sought to combine the advantages of classic open vascular procedure with the use of endoscopic surgical t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw379

    authors: Andrási TB,Kékesi V,Merkely B,Grossmann M,Danner BC,Schöndube FA

    更新日期:2017-04-01 00:00:00

  • Surgery for mediastinal neurogenic tumours: a 25-year single-centre retrospective study.

    abstract:OBJECTIVES:Mediastinal neurogenic tumours are uncommon and often benign neoplasms mostly located in the posterior mediastinum and usually diagnosed incidentally. We reviewed our results after surgical resection. We compared patient characteristics and tumour nature between children and adults. Differences between thora...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivab002

    authors: Lacquet M,Moons J,Ceulemans LJ,De Leyn P,Van Raemdonck D

    更新日期:2021-02-01 00:00:00

  • Fistula formation between the arterial blood supply of pulmonary sequestration and the oesophagus accompanied by an intermittent haematemesis.

    abstract::This study aimed to report the case of a patient diagnosed with pulmonary sequestration accompanied by an intermittent haematemesis as the initial and life-threatening symptom. Emergent surgical intervention finally confirmed a rare direct fistula formation between the arterial blood supply of pulmonary sequestration ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy247

    authors: Wang WP,Ma J,Lu Q,Li XF

    更新日期:2019-03-01 00:00:00

  • A severe penetrating cardiac injury in the absence of cardiac tamponade.

    abstract::Penetrating cardiac injury is rare and frequently not survivable. Significant haemorrhage resulting in cardiac tamponade commonly ensues. Such cardiac tamponade is a clear clinical, radiological and sonographic indicator of significant underlying injury. In the absence of cardiac tamponade, diagnosis can be more chall...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw342

    authors: Connelly TM,Kolcow W,Veerasingam D,DaCosta M

    更新日期:2017-02-01 00:00:00

  • Aortic valve-sparing root replacement from inside the aorta using three Dacron skirts preserving the native Valsalva sinuses geometry and stabilizing the annulus.

    abstract::We present an alternative idea for valve-sparing technique combining the advantages of the reimplantation and the benefits of the remodeling techniques. We replace the sinuses of Valsalva using three Dacron skirts from inside of the aorta. The physiological anatomy of the Valsalva sinuses and their dynamic properties ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.184200

    authors: Ruvolo G,Fattouch K

    更新日期:2009-02-01 00:00:00

  • Does routine preoperative computed tomography imaging provide clinical utility in patients undergoing primary cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in patients undergoing primary cardiac surgery, does routine preoperative computed tomography (CT) imaging provide clinical benefit as measured by either a decrease in complications or a change in surgi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivx098

    authors: Merlo A,Chen K,Deo S,Markowitz A

    更新日期:2017-10-01 00:00:00

  • Spontaneous intra-abdominal haemorrhage due to segmental arterial mediolysis following oesophagocolojejunostomy.

    abstract::Segmental arterial mediolysis is a rare vascular disease that leads to spontaneous intra-abdominal haemorrhage, which causes shock and bowel ischaemia, and is associated with a high mortality rate. Here, we present a case of spontaneous intra-abdominal haemorrhage due to segmental arterial mediolysis in a patient who ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx177

    authors: Lee J,Ahn HY,I H,Kim CW

    更新日期:2017-12-01 00:00:00