[HSF] Another Victory for the LAD Stent.....

jbflegejr at aol.com jbflegejr at aol.com
Mon Feb 11 07:55:51 EST 2008


The axillary artery is more accessible and much easier than the subclavian or the descending aorta for a proximal anastomosis. John Flege


-----Original Message-----
From: Donald Ross <donross at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sun, 10 Feb 2008 5:45 pm
Subject: Re: [HSF] Another Victory for the LAD Stent.....







Erdinc, 
 

I have only had one case where adhesions were bad and although tedious the time an effort was still less than for a frontal attack. 

I have, as yet to come across an inoperable descending aorta but we now check it with a cat scan and if it were a problem I would use a higher incision and go for the subclavialn. 

Don 
 

On 11/02/2008, at 2:46 AM, erdinç naseri wrote: 
 

> 

> Don, 

> In my hands it has always been difficult to release the pleural > adhesions on the side which Ima has been used.Most of the time air > leaks  happen. Also the descending aorta in these patients are nor > so suitable for clamping and punching for proximal anastomoses.. > How do you tackle these problems. 

> Erdinc 

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