A new method for coronary occlusion and local stabilization during minimally invasive LIMA-to-LAD-bypass

The minimally invasive direct coronary occlusion and stabilizing technique (midCOAST)-system, a new device for coronary occlusion and local stabilizat ion during minimally invasive LIMA-to-LAD-bypass is presented. A closed pla tform with an oval opening in its center provides optimal immobilization to gether with platform-fixed vessel-loops, which are used for LAD-occlusion, Clinical results in 72 consecutive patients indicate that the midCOAST-devi ce can be safely and effectively used for minimally invasive LUSA-to-LAD-pr ocedure, even in patients with impaired left ventricular function. Due to t he optimal immobilization of the target area the quality of the LIMA-to-LAD -anastomosis, documented by post-operative angiography (62/72), was excelle nt in all cases. (C) 1999 Elsevier Science B.V. All rights reserved.