[HSF] Aortic purse strings in thin large aortas.

psimha prasannasimha at gmail.com
Sun Dec 3 19:36:35 EST 2006


Yes, Hal,
I forgot about that . I use that especially in OPCAB's when we want to 
control pressure while decannulating.
Prasanna
Hgrmd at aol.com wrote:
> Prasanna,
>   Excellent points on managing cannulation site bleeding.  The  only thing I 
> would add is my poor man's way to get temporary hypotension for  tying the 
> pursestrings.  The "Ninja Death Grip" is where I pinch the IVC  between my right 
> index and middle fingers.  Over 30 seconds, the systemic  pressure will drop 
> down into the 60's.  I then release my fingers and  quickly tie the 
> pursestrings before the pressure returns to normal in about 30  seconds.  Works well, and 
> you don't have to deal with the residual  hypotension of NTG or nipride when 
> you no longer need it.
> Hal
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