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Off-Pump “Beating Heart” Coronary Artery Bypass Graft Surgery

Once thought impossible, cardiac surgeons can now perform coronary artery bypass graft (CABG) procedures while the heart is still beating. During a “beating heart” bypass procedure, a surgeon uses a heart stabilizer to reduce the movement in the area of the heart to be bypassed. Eliminating the use of the heart-lung machine reduces complications such as stroke, increased need for blood transfusions, and kidney and lung complications.

Research shows that beating heart CABG procedures improve patient outcomes for:

  • Women;
  • Patients with carotid artery stenosis;
  • Patients with prior stroke; and
  • Patients with compromised pulmonary or renal function.

The C-Port systems improve quality, reliability and consistency of bypass graft connections while reducing operating time and cost. In addition, Cardica’s C-Port® Flex-A® Anastomosis System, which has a flexible shaft, allows surgeons to perform vessel connections in areas of the heart that are difficult or impossible to reach using hand-sewn anastomoses. During beating heart CABG procedures, the C-Port systems are designed to:

  • Create compliant anastomoses, which can expand and contract with blood flow;
  • Reduce time required for anastomosis and is complete in two minutes;
  • Produce consistent, reproducible anastomoses, largely independent of surgical technique and skill set;
  • Avoid interruption of blood flow while the anastomosis is being completed;
  • Work on coronary arteries as small as 1 millimeter in internal diameter;
  • Allow mechanically governed repeatability and reduced procedural complexity;
  • Work with grafts of various diameters and wall thicknesses less than 1.4 millimeters;
  • Minimize scarring and potential occlusion of the anastomosis by achieving nearly complete alignment of the natural blood lining surfaces of the coronary artery and the graft; and
  • Reload for multiple firings with one handle.
 


Video

Click here to view a beating heart CABG procedure using the the  C-Port system. 

Click here to view an animation of the  C-Port System in use.



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