=?GB2312?B?UkU6IFu98Mm9tr6w1Mq2sfC0y9PKvP7OqsCsu/jTyrz+XVJFOiBbvfDJvQ==?= =?GB2312?B?tr6w1Mq2sfC0y9PKvP7OqsCsu/jTyrz+XVtIU0ZdIExBRCBFTkRBUlRFUkU=?= =?GB2312?B?Q1RPTVk=?=

Salerno, Tomas TSalerno at med.miami.edu
Thu Jan 11 09:58:37 EST 2007


Sorry, I want to know if flows measurements were taken after =
construction of the anastomoses and after protamine administration. Only =
this, or other form of graft verification, confirms patency.

Tomas

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com =
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of ??
Sent: Thursday, January 11, 2007 9:59 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE]RE: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE][HSF] LAD ENDARTERECTOMY

most of the time if the backflow after endartorectomy is good, the the =
graft flow will be OK.=20

steve

----- Original Message -----=20
From: "Salerno, Tomas" <TSalerno at med.miami.edu>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Thursday, January 11, 2007 10:14 PM
Subject: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE]RE: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE][HSF] LAD ENDARTERECTOMY


I hope that you are measuring blood flows in the grafts after =
end-arterectomy, or using some form of quality control of the =
anastomoses. Otherwise I assume that all these anastomoses are occluded =
after protamine administration. This would be important as documentation =
that this procedure is worthwhile. I personally no longer do it, with =
very few exceptions.

Tomas

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com =
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of ??
Sent: Thursday, January 11, 2007 8:13 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE][HSF] LAD ENDARTERECTOMY

I am doing about 90% Opcab and have done extensive endarterectomy for =
more than 50 cases. 85% of the graft flow are OK by flowmeter. I think =
the key piont for off-pump endarterectomy is to get the whole =
endarterectomy, then the graft flow will be satisfied.=20

steve


----- Original Message -----=20
From: "gustavo abuin" <gabuin at intramed.net>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Thursday, January 11, 2007 11:07 AM
Subject: =
[=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8=
=D3=CA=BC=FE][HSF] LAD ENDARTERECTOMY


> Dear members of the forum:
> I perform my coronary patients via opcab and oncab 70/30.
> I think, as the forum have stated and discussed, there are indications =
for=20
> any procedure.
> My question is:
> How many of the "100%" opcab surgeons can perform an extensive=20
> endarterectomy like the photo shows.
> If some of the members do the procedure, please, let us how to do it.
> Thanks in advance.=20
>


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