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Endoscopic, Non-robotic U-clip Anastomosis In A Beating Heart Model
Hagen Gorki1, Nirav C. Patel2, Andreas Liebold1.
1University of Ulm, Ulm, Germany, 2Lenox Hill Hospital, New York, NY, USA.
OBJECTIVE:
An endoscopic, port access coronary anastomosis without robotic support is regarded commonly as technically too difficult.
METHODS:
The video presents an endoscopic, handsewn vein-to- coronary artery anastomosis using U-clips in an isolated, mechanically actuated porcine heart positioned in a human chest model.
RESULTS:
The endocast and endovascular view proof the appropriateness of the anastomosis.
CONCLUSIONS:
A handsewn coronary anastomosis under endscopic vision is well possible and improved instruments and vision could lead to wider acceptance of this technique and finally to clinical application.
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