Application of Enclose II aortic proximal anastomosis device during off-pump coronary artery bypass ;grafting in patients with ascending aortic calcification
XIAO Zhi-bin
GUO Jian-zhong
CHENG Zhi-guang
CUI Yong-chao
LI Ying-ying
ZHANG Yong
Abstract：Objective To review the clinical application effect of Enclose II aortic proximal anastomosis device (Enclose II) during off-pump coronary artery bypass grafting (OPCABG) in patients with ascending aortic calcification. Methods The patients with serious aortic calcification (n=435) undergone OPCABG were chosen from Mar. 2008 to May 2015. Enclose II was applied for aortic proximal anastomosis during OPCABG. The graft flow after anastomosis and incidence of complications were observed during and after anastomosis. Results There were 5 cases (1.15%) died after OPCABG, among them 3 with serious low cardiac output syndrome, and 2 with respiratory failure complicating severe pulmonary infection. There were 2-5 (average 3.11±0.08) bypass grafting completed in OPCABG, 561 proximal anastomotic stomas completed by using Enclose II, including 458 anastomotic stomas of great saphenous vein (GSV) and 103 of radial artery (RA). After proximal anastomosis by using Enclose II, graft flow [(22.15±7.26) mL/min] had no significant difference compared with that after using aorta side wall clamp (P>0.05). There were no complications related to Enclose II during and after OPCABG. Conclusion Enclose II is easy to use, safe and reliable, which can effectively reduce the complications related to aortic proximal operation.
Keywords：Coronary artery bypass graftingAortic calcificationProximal anastomosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 784-786 )