Abdominal aortic cross-clamping is required in many visceral bypass operations, but results in increased risk of postoperative morbidity. Originally developed for coronary artery bypass grafting, the PAS-Port Proximal Anastomotic System (Cardica Inc., Redwood City, CA) creates sutureless proximal aortic anastomoses without the need for cross-clamping, although its use elsewhere in the body has not been reported. In this video, the authors use the PAS-Port Proximal Anastomotic System in the abdominal aorta procedure as a viable alternative to traditional anastomotic techniques.
Vascular, Episode
The Beat with Joel Dunning Ep. 37
Vascular, Episode
The Beat with Joel Dunning Ep. 36
Vascular, Episode
The Beat with Joel Dunning Ep. 35
Dears authors,
Felicitations pour this presentation of this technique. It is seducing.
I have one remark and one question.
1. For this technique the aorta must be without calcifications
2. How do you explain an acute mesenteric ischemia? On the CT scan i see a large anastomosis between the coeliac trunk and the superior mesenteriac artery by the gastro-duodenal arcade and the inferior mesenteric artery is patent. In my experience i never observed an acute mesenteric ischemia in this cathegory of patient.
Best wishes
Augustin PIRVU MD