Adenosine in Port-Access Surgery: A Means for Stabilizing the Endoaortic Clamp

(#2001-5341 ... January 8, 2002)

Fadi Farhat, MD,¹ José Coddens, MD,² Hugo Vanermen, MD,³ Philippe Mikaeloff, MD,¹ Olivier Jegaden, MD¹

¹Department of Cardiovascular Surgery, Unité 31, Hôpital Cardiologique, Lyon, France
²Department of Anesthesiology, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgium
³Department of Thoracic and Cardiovascular Surgery, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgium

ABSTRACT

Port-Access™ surgery at its inception presented difþculties that have been progressively resolved as surgeons have gained additional experience with the technique. The migration of the Endoaortic clamp™ during balloon inÞation and the subsequent need for frequent repositioning is one such problem that has not been solved. We describe the use of adenosine as a means of stabilizing the Endoaortic clamp™ to address the migration problem.

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