[HSF] diamond skip anastomosis

[Tea Acuff]

No it is a guess for all of us a presume, but it conveys a sense of scale to the problem/ technique. Concrete (as in drawings and better pictures) does allow us to compare verbal metaphors. I was wondering looking at your pictures, by the way, if the operating microscope might not have a place with this technique. 

Interestingly I was thinking about Tohru's experience in "all" (sic) arterial grafting in 50kg Chinese, excuse my geographical blunder, Japanese women when that whole discussion of surgeons as risk adverse and hand in glove analogy for surgeon and evidence evolved. See the logic? If you do, it may be time for a checkup.

tea 


----- Original Message ----
From: Donald Ross <donross at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, January 14, 2008 1:32:59 AM
Subject: Re: [HSF] diamond skip anastomosis

Tea,
I can't answer that. I have never measured them, I would guess ~ 4mm.
They are probably a bit shorter than the maximum allowable for the  
conduit diameter but are not consciously made longer for a large graft.
In other words the arteriotomy is short enough to accommodate my  
smallest graft which is probably 3mm. ( again, not something I measure)
Don
On 14/01/2008, at 12:00 PM, Tea Acuff wrote:

> So are the arteriotomies 4-6mm wide?
>
> tea
>
>
> ----- Original Message ----
> From: Tohru Asai <toruasai at belle.shiga-med.ac.jp>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Sunday, January 13, 2008 12:35:53 AM
> Subject: Re: [HSF] diamond skip anastomosis
>
> Don
> Interestingly I do exactly the same way. I put eight to twelve  
> stitches in
> one anastomosis.
> -- 
> Tohru Asai
>
>
>
>> These sketches (two instalments ) show the method I developed to
>> facilitate skip grafting to marginals and pda.
>> It is especially useful for opcab where exposure of the heel can be a
>> problem:
>
>
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