BACKGROUND: Complete revascularization has been difficult in @entity453 ( @entity453 ). Hemodynamic deterioration often prevents access to the circumflex territory. This study presents instrumentation for accessing the circumflex territory, and our clinical experience. METHODS: From August 1999 through December 2002, 140 @entity1 underwent @entity453 via sternotomy in our institution. The 114 requiring reconstruction of the circumflex artery are the subjects of this study. There were no exclusion criteria. A series of techniques and instruments were developed to provide access to the circumflex area while hemodynamic stability was preserved, including the left pericardial traction technique, compression of the right pericardium, a right sternal retractor, and a type of shunt tube. RESULTS: @entity1 received an average of 3.2 grafts (range, 2 to 6). Complete revascularization was achieved in 95% of the cases. Complications included @entity1576 (0.8%), @entity8 (7%), and sternal wound infection (0.8%). Blood transfusions were required in 10 @entity1 (8%). No @entity1 suffered perioperative @entity583 or @entity64 . No operation was converted to cardiopulmonary bypass. There was no operative @entity204 . Predischarge angiography demonstrated a 99% patency rate. CONCLUSIONS: With our techniques and instruments, off-pump coronary revascularizaion of the circumflex area may be performed safely to achieve complete revascularization. Early clinical results are excellent, but long-term longitudinal follow-up is required to assess the future effectiveness of @entity453 procedure with our techniques.

Our experiences for XXXX to the circumflex system.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal dysfunction'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory insufficiency'] @entity453 :: ('MESH:D003324', 'Disease') :: ['OPCAB', 'off-pump coronary artery bypass grafting'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity453 :: (MESH:D003324,Disease) :: ['off-pump coronary artery bypass grafting']
