[HSF] LAD ENDARTERECTOMY

[Nasser F. Abou'Seada]

Don 
thank you
that was very helpful indeed 

NFA 

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Donald Ross
> Sent: Thursday, January 11, 2007 7:19 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] LAD ENDARTERECTOMY
> 
> I used to do a lot of (unnecessary as it turned out) endarterectomies
> to clean out the proximal lad and revascularise the septals.
> The results were good with no  problems till we changed from bubble
> to membrane oxygenators.
> Then I started to have acute closures with unpleasant consequences,
> due I believe to healthier platelets.
> Needless to say I now only do occasional endarterectomies for the
> same indications as Gustavo and others.
> My protocol is my usual aggressive early aspirin and clopidogrel
> supplanted by 6 months warfarin.
> 
> I have seen several late( > 10 years ) angiograms of that early set
> with patent grafts to  their enarterecomies.
> 
> No, Thomas I have never measured flows but  they are always  done on
> the beating heart using one of my  long shunts.
> Incidentally, if the shunt is held up distally it means you have more
> prawn guts to extract.
> Don
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