The Beat With Joel Dunning Ep. 176: The ELANA System in CABG

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Bart P. van Putte, a cardiothoracic surgeon at the St. Antonius Hospital in Nieuwegein, Netherlands, and the Amsterdam University Medical Center about the excimer laser assisted non-occlusive anastomosis (ELANA) system in coronary artery bypass grafting (CABG).

They discussed the purpose of the ELANA system, what it is, and how it works. They also reviewed the system’s critical procedural step and explored its potential application in jump grafts. Additionally, they analyzed the clinical cases in which the system was utilized, including the findings. They also outlined the next steps and evaluated the feasibility of implementing this system at other clinical centers.

Joel also highlights recent JANS articles on midterm outcomes after bilateral vs single internal mammary artery grafting in minimally invasive direct coronary artery bypass, a comparison of radial artery and saphenous vein as the third conduit with bilateral internal mammary arteries in coronary bypass surgery, a case report on right basilar segmental autologous lung transplantation with carinal reconstruction in a patient with central lung squamous cell carcinoma, Type A aortic dissection causing pulmonary artery intramural hematoma and compression, and a Society of Thoracic Surgeons general thoracic surgery database analysis of the association between lymph node dissection and chylothorax.

In addition, Joel explores a robotic extended sympathectomy for severe compensatory hyperhidrosis, right-sided minimally invasive off-pump coronary artery bypass, and the Ross procedure for infective endocarditis with extensive aortic root destruction in a child with a bicuspid aortic valve.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. Mid-Term Outcomes After Bilateral Versus Single Internal Mammary Artery Grafting in MIDCAB
2. Comparison of RA and Saphenous Vein as the Third Conduit With BIMA in Coronary Bypass Surgery
3. Right Basilar Segmental Autologous Lung Transplantation With Carinal Reconstruction for Central Lung SCC
4. Type A Aortic Dissection Causing Pulmonary Artery Intramural Hematoma and Compression
5. An STS General Thoracic Surgery Database Analysis of the Association Between LN Dissection and Chylothorax

CTSNet Content Mentioned

1. Robotic Extended Sympathectomy for Severe Compensatory Hyperhidrosis
2. Right-Sided Minimally Invasive Off-Pump Coronary Artery Bypass
3. Ross Procedure for Infective Endocarditis With Extensive Aortic Root Destruction in a Child With a Bicuspid Aortic Valve

Other Items Mentioned

1. The First Prospective Safety and Effectiveness Trial of the Excimer Laser Assisted Nonocclusive Anastomosis System in Coronary Artery Bypass Grafting
2. Oral Board AI Simulator
3. The TAVR Heart Team in 2026: Navigating the CMS Decision | A CTSNet Webinar
4. Career Center
5. CTSNet Events

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