=?gb2312?Q?Re=3A_=5B=BD=F0=C9=BD=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA?= =?gb2312?Q?=BC=FE=CE=AA=C0=AC=BB=F8=D3=CA=BC=FE=5DRE=3A_=5B=BD=F0=C9=BD?= =?gb2312?Q?=B6=BE=B0=D4=CA=B6=B1=F0=B4=CB=D3=CA=BC=FE=CE=AA=C0=AC=BB=F8?= =?gb2312?Q?=D3=CA=BC=FE=5D=5BHSF=5D_LAD_ENDARTERECTOMY?=

Thu Jan 11 14:41:55 EST 2007

Pattern is a key. Some remote lesions from all tape and adhesives or not?=
=0ATea=0A=0A=0A----- Original Message ----=0AFrom: "Salerno, Tomas" <TSaler=
no at med.miami.edu>=0ATo: OpenHeart-L at lists.hsforum.com=0ASent: Thursday, Jan=
uary 11, 2007 9:11:48 AM=0ASubject: 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] LA=
D ENDARTERECTOMY=0A=0A=0AHas any of the surgeons in the heart surgical foru=
m experienced skin breakdowns occurrying after open heart surgery?  These l=
esions are like blisters that have occurred in different locations, usually=
 appearing 12 hours after surgery. The cause of this injury remains undefin=
ed, and we have gone from changing iodine prep, heating blankets, use of on=
ly one cautery and other maneuvers. =0AAny experience from the surgeons and=
 how they identified the problem would be welcome.=0A=0A=0ATomas=0A=0A-----=
Original Message-----=0AFrom: openheart-l-bounces at lists.hsforum.com [mailto=
:openheart-l-bounces at lists.hsforum.com] On Behalf Of Salerno, Tomas=0ASent:=
 Thursday, January 11, 2007 9:59 AM=0ATo: OpenHeart-L at lists.hsforum.com=0AS=
ubject: 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=0A=0ASorry=
, I want to know if flows measurements were taken after construction of the=
 anastomoses and after protamine administration. Only this, or other form o=
f graft verification, confirms patency.=0A=0ATomas=0A=0A-----Original Messa=
ge-----=0AFrom: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-b=
ounces at lists.hsforum.com] On Behalf Of ??=0ASent: Thursday, January 11, 200=
7 9:59 AM=0ATo: OpenHeart-L at lists.hsforum.com=0ASubject: 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=0A=0Amost of the time if the backflow=
 after endartorectomy is good, the the graft flow will be OK. =0A=0Asteve=
=0A=0A----- Original Message ----- =0AFrom: "Salerno, Tomas" <TSalerno at med.=
miami.edu>=0ATo: <OpenHeart-L at lists.hsforum.com>=0ASent: Thursday, January =
11, 2007 10:14 PM=0ASubject: [=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 ENDARTEREC=
TOMY=0A=0A=0AI 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 procedur=
e is worthwhile. I personally no longer do it, with very few exceptions.=0A=
=0ATomas=0A=0A-----Original Message-----=0AFrom: openheart-l-bounces at lists.=
hsforum.com [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of ??=
=0ASent: Thursday, January 11, 2007 8:13 AM=0ATo: OpenHeart-L at lists.hsforum=
.com=0ASubject: 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=0A=0AI am doing abo=
ut 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-p=
ump endarterectomy is to get the whole endarterectomy, then the graft flow =
will be satisfied. =0A=0Asteve=0A=0A=0A----- Original Message ----- =0AFrom=
: "gustavo abuin" <gabuin at intramed.net>=0ATo: <OpenHeart-L at lists.hsforum.co=
m>=0ASent: Thursday, January 11, 2007 11:07 AM=0ASubject: [=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=0A=0A=0A> Dear members of the forum:=0A> I perform my c=
oronary patients via opcab and oncab 70/30.=0A> I think, as the forum have =
stated and discussed, there are indications for =0A> any procedure.=0A> My =
question is:=0A> How many of the "100%" opcab surgeons can perform an exten=
sive =0A> endarterectomy like the photo shows.=0A> If some of the members d=
o the procedure, please, let us how to do it.=0A> Thanks in advance. =0A>=
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