Re: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][HSF] LAD ENDARTERECTOMY

[Salerno, Tomas]

These are blister and second and third degree burnd occurrying in different areas of body likely electrical

Tomas

----- Original Message -----
From: openheart-l-bounces at lists.hsforum.com <openheart-l-bounces at lists.hsforum.com>
To: OpenHeart-L at lists.hsforum.com <OpenHeart-L at lists.hsforum.com>
Sent: Thu Jan 11 17:41:55 2007
Subject: Re: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][HSF] LAD ENDARTERECTOMY

Pattern is a key. Some remote lesions from all tape and adhesives or not?
Tea


----- Original Message ----
From: "Salerno, Tomas" <TSalerno at med.miami.edu>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, January 11, 2007 9:11:48 AM
Subject: RE: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][HSF] LAD ENDARTERECTOMY


Has any of the surgeons in the heart surgical forum experienced skin breakdowns occurrying after open heart surgery?  These lesions are like blisters that have occurred in different locations, usually appearing 12 hours after surgery. The cause of this injury remains undefined, and we have gone from changing iodine prep, heating blankets, use of only one cautery and other maneuvers. 
Any experience from the surgeons and how they identified the problem would be welcome.


Tomas

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Salerno, Tomas
Sent: Thursday, January 11, 2007 9:59 AM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][HSF] LAD ENDARTERECTOMY

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: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][HSF] LAD ENDARTERECTOMY

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

steve

----- Original Message ----- 
From: "Salerno, Tomas" <TSalerno at med.miami.edu>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Thursday, January 11, 2007 10:14 PM
Subject: [金山毒霸识别此邮件为垃圾邮件]RE: [金山毒霸识别此邮件为垃圾邮件][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: [金山毒霸识别此邮件为垃圾邮件][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. 

steve


----- Original Message ----- 
From: "gustavo abuin" <gabuin at intramed.net>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Thursday, January 11, 2007 11:07 AM
Subject: [金山毒霸识别此邮件为垃圾邮件][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 
> any procedure.
> My question is:
> How many of the "100%" opcab surgeons can perform an extensive 
> endarterectomy like the photo shows.
> If some of the members do the procedure, please, let us how to do it.
> Thanks in advance. 
>


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