Superiority of Using Bipolar Radiofrequency Energy for Internal Mammary Artery Harvesting Thomas A. Vassiliades, MD, Ned Cosgriff, MD, Amy Denham, BSEE,

Slides:

Advertisements

Similar presentations

Megan L. Durr, BS, Stephen C. Yang, MD The Annals of Thoracic Surgery

Advertisements

Treating Constrictive Pericarditis in a Chinese Single-Center Study: A Five-Year Experience Yiyun Lin, MD, Mi Zhou, MMS, Jian Xiao, MD, Bin Wang, MD,

Giant Transdiaphragmatic Intercostal Hernia

The STS National Database

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Michael Kalina, DO, Frederick Giberson, MD

Vasorelaxation Induced by New Third-Generation Dihydropyridine Calcium Antagonist Azelnidipine in Human Internal Mammary Artery Ge Gao, MD, PhD, Xiao-Cheng.

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Andranik Petrosyan, MD, Patrice Bergeron, MD

The Annals of Thoracic Surgery

Regulation of Human Internal Mammary and Radial Artery Contraction by Extracellular and Intracellular Calcium Channels and Cyclic Adenosine 3′, 5′ Monophosphate

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Denton A. Cooley, August 22, 1920, to November 18, 2016

Donald J. Morris, MD, Andrew H. Fischer, MD, Jeffrey Abboud, MD

Aortic Valve Replacement Improves Survival in Severe Aortic Stenosis Associated With Severe Pulmonary Hypertension Ramdas G. Pai, MD, Padmini Varadarajan,

Potassium Channel-Related Relaxation by Levosimendan in the Human Internal Mammary Artery Oguzhan Yildiz, MD, PhD, Melik Seyrek, MD, Vedat Yildirim,

Eduardo Crema, PhD, MD, Lara B. P. Ribeiro, Juverson A. Terra, Alex A

Surgical Resection of a Giant Coronary Aneurysm

Sternal Retractor for Internal Mammary Artery

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD

Pleural Metastasis of Osteosarcoma

Surgical Repair of a Chronic Traumatic Sternal Fracture

Public policy and the practicing physician

Samuel P. Morreau, David A. Haydock, MBChB, FRACS

Origins of the Cardiothoracic Surgery Network (CTSNet)

James D. St. Louis, MD The Annals of Thoracic Surgery

Who Do You Say You Are? The Annals of Thoracic Surgery

Congenital Absence of Bilateral Common Carotid Arteries

Ying-Ying Dong, MD, Min Wu, MD, Anthony P. C

The “Double-Valve” Sign in Acute Type A Aortic Dissection

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Thomas Bruce Ferguson, MD, May 6, 1923–May 26, 2013

Ashok Muniappan, MD, John C. Wain, MD, Cameron D. Wright, MD, Dean M

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Accessory Liver Lobe in the Left Thoracic Cavity

Dysphagia in the Young Male: The Ringed Esophagus

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

The Annals of Thoracic Surgery

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

Redo Aortic Valve Replacement in Children

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Editorial Board, January 2010

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Surgical Treatment of Aortic Prosthetic Valve Endocarditis: A 20-Year Single-Center Experience Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Victoria.

An Unusual Cause of Hemoptysis in a Young Woman

Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Role of Endothelin-1 Receptor Antagonists in Vasoconstriction Mediated by Endothelin and Other Vasoconstrictors in Human Internal Mammary Artery Guo-Wei.

Management of Empyema Cavity With the Vacuum-Assisted Closure Device

Patrick O. Myers, MD The Annals of Thoracic Surgery

Invited Commentary The Annals of Thoracic Surgery

Functional and Physiologic Results of Video-Assisted Thoracoscopic Diaphragm Plication in Adult Patients With Unilateral Diaphragm Paralysis Richard.

Robert Lee Replogle, September 30, 1931–May 9, 2016

A Target for Perioperative Blood Pressure During Cardiac Operations

Pulmonary Embolectomy for Acute Massive Pulmonary Embolism

The American Board of Thoracic Surgery: Update

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Posttraumatic Main Left Bronchial Rupture

Arterial balloon catheter: a new atraumatic device for dilating arterial grafts Hugues Jeanmart, MD, Louis P Perrault, MD, PhD, Nathalie Desjardins, BS,

Robotic Endoscopic Left Internal Mammary Artery Harvesting: What Have We Learned After 100 Cases? Armin Oehlinger, MD, Nikolaos Bonaros, MD, Thomas Schachner,

Late Consequences of a Much Earlier Decision

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Nervous Network of Skeletonized Internal Thoracic Artery

Heart Transplant Program Volume Is Not a Measure of Quality

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

J. Alberto Lopez, MD The Annals of Thoracic Surgery

How I Teach Hemi-Arch Replacement

Presentation transcript:

Superiority of Using Bipolar Radiofrequency Energy for Internal Mammary Artery Harvesting Thomas A. Vassiliades, MD, Ned Cosgriff, MD, Amy Denham, BSEE, Jessica Olson, MSME, Donald H. Maul, DVM The Annals of Thoracic Surgery Volume 83, Issue 4, Pages 1508-1512 (April 2007) DOI: 10.1016/j.athoracsur.2006.08.014 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Burst pressure (mm Hg) of porcine internal mammary artery side branches (n = 163). Columns represent the mean ± standard error of the mean. (p < 0.05 compared with bipolar electrosurgery; *p < 0.01 compared with monopolar radiofrequency electrosurgery and ultrasonic electrosurgery; **p < 0.001 compared with monopolar radiofrequency electrosurgery and ultrasonic coagulation.) ■ = monopolar; = bipolar; = ultrasonic; □ = clips. The Annals of Thoracic Surgery 2007 83, 1508-1512DOI: (10.1016/j.athoracsur.2006.08.014) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The concentration-relaxation curves to adenosine triphosphate (ATP) of the rings that contracted to phenylephrine. (**p < 0.05 vs monopolar, clips, ultrasonic, control [denuded].) = monopolar radiofrequency (n = 23); = clips (n = 24); = bipolar radiofrequency (n = 19); = ultrasonic (n = 23); = control (intact) (n = 16); = control (denuded) (n = 8). The Annals of Thoracic Surgery 2007 83, 1508-1512DOI: (10.1016/j.athoracsur.2006.08.014) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Representative scanning electron micrographs of porcine internal mammary artery harvested as (A) control (grade 0) and (B) monopolar radiofrequency (RF) electrosurgery (grade 3). The Annals of Thoracic Surgery 2007 83, 1508-1512DOI: (10.1016/j.athoracsur.2006.08.014) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Distribution of standard error of the mean (SEM) grades for treatment groups (high, mean, low; control, intact = 0.0; control, denuded = 4.0). (BP = bipolar; CL = clips; MP = monopolar; US = ultrasonic.) The Annals of Thoracic Surgery 2007 83, 1508-1512DOI: (10.1016/j.athoracsur.2006.08.014) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions