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The Annals of Thoracic Surgery, Vol 51, 842-843, Copyright © 1991 by The Society of Thoracic Surgeons
PO Daily, WP Dembitsky and RP Daily
Even with circulatory arrest during pulmonary thromboendarterectomy,
continued back-bleeding obscures the operative field. This necessitates
frequent interruptions of dissection to allow aspiration with a second
instrument. Therefore, pulmonary thromboendarterectomy dissectors are
described that allow simultaneous suction of blood from the operative
field. Before the use of these dissectors, circulatory arrest time was 59
+/- 23 minutes in 124 consecutive patients. In the last 10 consecutive
patients using these dissectors, the mean circulatory arrest time has been
52 +/- 22 minutes (p = not significant). It is anticipated that with a
larger database, the ability to aspirate blood simultaneously during the
dissecting process will result in a significant shortening of circulatory
arrest time.
ARTICLES
Dissectors for pulmonary thromboendarterectomy
Sharp Memorial Hospital, San Diego, California.
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