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Results of proxymal anastomosis devices for CABG: Heartstring vs. Enclose II
Akira Yamada.
Teine Keijinkai Hospital, Sapporo, Japan.

OBJECTIVE:
We used two defferent kinds of proxymal anastomosis devices for off-pump CABG: Heartstring and Enclose II. We sought the usefullness and short-term patency of the devices.
METHODS:
From 2004 to 2005, we used 17 Heartstring in 15 cases and 14 Enclose II in 14 cases for off-pump CABG. All grafts were SVG for Heartstring while 14 SVG and 3 RA (radial artery) for Enclose II. For concomitant bypass, we used LITA and RITA for LAD or LCX. We use 6-0 polypropylene sutures for all proxymal anastomosis. Post-operative graftgram was performed in all cases on day 1 to day 40 to evaluate early patency.
RESULTS:
We have no hospital mortality and no neurological complications in the present cases. Distal target vessels were as follows: 13 RCA, 2 LAD and 2 D1 for Heartstring, 13 RCA and 4 LCX for Enclose II. In post-operative graftgram, patency rate were 17/17 (100%) with Heartstring and 15/17 (88.2%) with Enclose II.
CONCLUSIONS:
Both Heartstring and Enclose II were safe and usefull devices for proxymal anastomosis in off-pump CABG.


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