Surgical Coronary Revascularization Using an Off-Pump, No-Touch Technique: The Cyclone (Hexalon) Experience

Jeffrey M Schussler,Theodore T Theologes,Baron L Hamman

doi:10.4236/ojts.2014.44019

Jeffrey M Schussler, Theodore T Theologes + Show 1 more

Open Access

https://doi.org/10.4236/ojts.2014.44019

Copy DOI

Abstract

The CycloneTM System (Castlewood Surgical, Inc., Concord, MA) is a novel device that facilitates the attachment of the saphenous vein onto the ascending aorta for the purpose of creating a bypass graft during a coronary artery bypass grafting (CABG) operation. It allows the surgeon to perform a hand-sewn anastomosis with no disruption of the intima of the aorta, and no need for partial clamping. During a 36-month period 109 CABG operations were performed, and the CycloneTM System (and its predecessor, the HexalonTM) was utilized to create 138 proximal anastomoses. This study demonstrates that this is a safe and effective method of creating a clampless, no-touch proximal anastomoses during off-pump CABG.

Highlights

Several devices have been introduced to the market over the past 10 years in an effort to avoid the use of a clamp during coronary artery bypass grafting—these devices allow the surgeon to create an aortic anastomosis without manipulation or cross-clamping the aorta
This paper reports on our larger clinical experience using this device, and its subsequent iteration, the CycloneTM System
Patient data was entered into the Society of Thoracic Surgeon’s (STS) risk calculator in an effort to calculate the risk of mortality and other morbidities, such as stroke, dialysis and reoperation for bleeding

Summary

Introduction

Several devices have been introduced to the market over the past 10 years in an effort to avoid the use of a clamp during coronary artery bypass grafting—these devices allow the surgeon to create an aortic anastomosis without manipulation or cross-clamping the aorta. In April, 2009, a new device was introduced to the market, the HexalonTM System. Initial evaluation of this device was promising, but only limited in scope [1]. This paper reports on our larger clinical experience using this device, and its subsequent iteration, the CycloneTM System. How to cite this paper: Schussler, J.M., Theologes, T.T. and Hamman, B.L. (2014) Surgical Coronary Revascularization Using an Off-Pump, No-Touch Technique: The Cyclone (Hexalon) Experience.

Methods

Results

Conclusion