The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 23-28 , July 2007

Forty-one-month follow-up of the Symmetry aortic connector system for proximal venous anastomosis

  • Peter Bergmann, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria
    • Corresponding Author InformationAddress for reprints: Peter Bergmann, MD, Division of Cardiac Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, A-8036 Graz, Austria.
    • ,
  • Katharina Meszaros, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria
    • ,
  • Stefan Huber, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria
    • ,
  • Peter Oberwalder, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria
    • ,
  • Heinrich Mächler, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria
    • ,
  • Gottfried Schaffler, MD

      Affiliations

    • Department of Radiology, Division of Cardiac Surgery, Medical University of Graz, Austria.
    • ,
  • Rainer Rienmueller, MD

      Affiliations

    • Department of Radiology, Division of Cardiac Surgery, Medical University of Graz, Austria.
    • ,
  • Bruno Rigler, MD

      Affiliations

    • Department of Surgery, Division of Cardiac Surgery, Medical University of Graz, Austria

Received 29 November 2006 ,Revised 2 February 2007 ,Accepted 7 February 2007.

References 

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  3. Antona C, Scrofani R, Lemma M, Vanelli P, Mangini A, Danna P, et al. Assessment of an aortosaphenous vein graft anastomotic device in coronary surgery (Clinical experience and early angiographic results). Ann Thorac Surg. 2002;74:2101–2105
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  5. Katariya K, Yassin S, Tehrani HY, Lombardi P, Masroor S, Salerno T. Initial experience with sutureless proximal anastomoses performed with a mechanical connector leading to clampless off-pump coronary artery bypass surgery. Ann Thorac Surg. 2004;77:563–568
  6. Traverse JH, Mooney MR, Pedersen WR, Madison JD, Flavin TF, Kshettry VR, et al. Clinical, angiographic, and interventional follow-up of patients with aortic-saphenous vein graft connectors. Circulation. 2003;108:452–456
  7. Cavendish JJ, Penny WF, Madani MM, Keramati S, Ben-Yahuda O, Blanchard DG, et al. Severe ostial saphenous vein graft disease leading to acute coronary syndromes following proximal aorto-saphenous anastomoses with the Symmetry bypass connector device (Is it a suture device or a “stent”?). J Am Coll Cardiol. 2004;43:133–139
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  9. Bergsland J, Hol PK, Lingas PS, Lundblad R, Rein KA, Andersen R, et al. Intraoperative and intermediate-term angiographic results of coronary artery bypass surgery with Symmetry proximal anastomotic device. J Thorac Cardiovasc Surg. 2004;128:718–723
  10. Dewey TM, Crumrine K, Herbert MA, Leonard A, Prince SL, Worley C, et al. First-year outcomes of beating heart coronary artery bypass grafting using proximal mechanical connectors. Ann Thorac Surg. 2004;77:1542–1549
  11. Hornik L, Tenderich G, Minami K, Fassbender D, Schulz TO, Beinert B, et al. First experience with the St Jude Medical, Inc, Symmetry Bypass System (Aortic Connector System). J Thorac Cardiovasc Surg. 2003;125:414–417
  12. Nishizaki K, Seki T. Early results of Aortic Connector System for proximal anastomoses of the saphenous vein graft. Ann Thorac Cardiovasc Surg. 2005;11:98–103
  13. Dietrich M, Martens S, Kohlert M, Herzog C, Fawad Khan M, Wimmer-Greinecker G, et al. Decreased intermediate term patency of automated proximal anastomoses evaluated by sequential ultrafast CT. Eur J Cardiothorac Surg. 2005;27:579–583
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  17. Kitamura H, Okabayashi H, Hanyu M, Soga Y, Nomoto T, Johno H, et al. Early and midterm patency of the proximal anastomoses of saphenous vein grafts made with a Symmetry Aortic Connector System. J Thorac Cardiovasc Surg. 2005;130:1028–1031
  18. Eckstein F, Bonilla L, Englberger L, Stauffer E, Berg TA, Schmidli J, et al. Minimizing aortic manipulation during OPCAB using the Symmetry Aortic Connector System for proximal vein graft anastomoses. Ann Thorac Surg. 2001;72:995–998
  19. Fitzgibbon GM, Kafka HP, Leach AJ, Keon WJ, Hooper D, Burton JR. Coronary bypass graft fate and patient outcome: angiographic follow-up of 5065 grafts related to survival and reoperation in 1388 patients during 25 years. J Am Coll Cardiol. 1996;28:616–626
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  21. Khan MF, Herzog C, Landenberger K, Martens S, Maataoui A, Ackermann H, et al. MDCT of the proximal anastomoses created by nitinol implants in coronary artery bypass grafting: a retrospective two-observer evaluation. Eur Radiol. 2005;15:305–311
  22. Semrad M, Stritesky M, Vondracek V, Lindner J, Vanek I, Kristof J, et al. Port access video-assisted proximal anastomosis with the Symmetry Aortic Connector in MIDCABG procedure. Ann Thorac Surg. 2003;76:919–921
  23. Redaelli A, Maisano F, Ligorio G, Cattaneo E, Montevecchi FM, Alfieri O. Flow dynamics of the St Jude Medical Symmetry aortic connector vein graft anastomosis do not contribute to the risk of acute thrombosis. J Thorac Cardiovasc Surg. 2004;128:117–123
  24. Farhat F, Chalabreysse L, Diab C, Aubert S, Jegaden O. Histological aspects of the saphenous vein damage with the use of the Symmetry Aortic Connector System. Interactive Cardiovasc Thorac Surg. 2004;3:373–375
  25. Matschke K, Kappert U, Schneider J. Graft occlusion after deployment of the aortic connector Symmetry system: is anticaoagulation a necessity?. Ann Thorac Surg. 2004;78:1878–1888

PII: S0022-5223(07)00361-3

doi: 10.1016/j.jtcvs.2007.02.007

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 23-28 , July 2007

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