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Clampless Technique in Open Revascularization of Acute Mesenteric Ischemia

Tuesday, September 13, 2016

Abdominal aortic cross-clamping is required in many visceral bypass operations, but results in increased risk of postoperative morbidity. Originally developed for coronary artery bypass grafting, the PAS-Port Proximal Anastomotic System (Cardica Inc., Redwood City, CA) creates sutureless proximal aortic anastomoses without the need for cross-clamping, although its use elsewhere in the body has not been reported. In this video, the authors use the PAS-Port Proximal Anastomotic System in the abdominal aorta procedure as a viable alternative to traditional anastomotic techniques.


Dears authors, Felicitations pour this presentation of this technique. It is seducing. I have one remark and one question. 1. For this technique the aorta must be without calcifications 2. How do you explain an acute mesenteric ischemia? On the CT scan i see a large anastomosis between the coeliac trunk and the superior mesenteriac artery by the gastro-duodenal arcade and the inferior mesenteric artery is patent. In my experience i never observed an acute mesenteric ischemia in this cathegory of patient. Best wishes Augustin PIRVU MD

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