This system uses silastic tapes to surround the vessel, attaching it to a template that immobilizes the vessel. Ultima II retractor and stabilizer. This system uses compression to immobilize the vessel. Medtronic Octopus 2 Stabilizer. This system attaches to the existing reusable retractor.
Suction is used to secure the heart to the retractor and immobilize the vessel.
Intracoronary shunts are extremely useful in minimizing the amount of ischemia and improving the safety of the operation. Allow extra time to obtain the best presentation and stabilization for obtuse marginal vessels. Do not compromise your exposure. If adequate exposure cannot be obtained the anastomosis should not be compromised and the traditional approach should be used. Avoid directing the gas jet directly into the vessel lumen to prevent gas embolization.