The Effects of Clamp and Shunt Usage on Vascular Endothelium in Coronary Artery Bypass Grafting Surgery

作     者：Habib Cakir Ismail Yürekli Koksal Donmez Yuksel Besir Mert Kestelli Ersin Celik Banu Bahriye Akdag Lafci Ufuk Yetkin Ali Gürbüz 

作者机构：Cardiovascular Surgery Katip Celebi Universitesi Ataturk Education and Training Hospital Izmir Turkey Department of Cardiovascular Surgery Izmir Atatürk Education and Research Hospital Izmir Turkey 

出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)

年 卷 期：2013年第3卷第7期

页      面：225-226页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Coronary Artery Bypass Surgery Shunt Endothelial Injury Clamp 

摘      要：In this review we aimed to present the effects of clamp and shunt usage on vascular endothelium in coronary artery surgery under the light of current literature data. Each surgical team or even each surgeon uses different methods in order to create bloodless surgical site during beating heart surgical procedures. Every method has its own advantages and disadvantages. There is no formed consensus regarding this issue. Surgeons still want to operate on bloodless surgical fields. But, they have concerns about continuity of blood flow and vascular endothelial injury during off-pump coronary surgery. In order to achieve a consensus statement about this issue, multicentric larger studies are needed.