Chapter category: Heart
Coronary Sinus Interventions in Experimental Research: A Review
Coronary Sinus Intervention in Cardiac Surgery, Second Edition
Edited by: Werner MohlISBN: 1-58706-006-X
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Chapter authors:
Harold L. Lazar and Richard J. Shemin
Despite optimal myocardial protection, ventricular dysfunction may still occur in the postoperative period following the revascularization of acutely ischemic myocardium. As more high risk patients with acute ischemic syndromes and reduced ejection fractions present for surgical revascularization, established techniques of cardioplegic arrest may be inadequate to protect these hearts. As the incidence of patients with unstable angina and evolving myocardial infarction increases, interventions directed at the coronary venous system have emerged as alternative techniques of myocardial protection. There is currently a renewed interest in protecting jeopardized myocardium during regional and global ischemia using coronary sinus retroperfusion techniques.
Additional chapters from this book:
Coronary Venous Retroinfusion During Interventional Cardiology
Peter Boekstegers
During the past decade, several percutaneous support devices for coronary angioplasty have been developed with the aim of improving myocardial tolerance to ischemia, thereby increasing the ...
Coronary Sinus Interventions in Experimental Research: A Review
Harold L. Lazar and Richard J. Shemin
Despite optimal myocardial protection, ventricular dysfunction may still occur in the postoperative period following the revascularization of acutely ischemic myocardium. As more high risk pat...
Coronary Venous Interventions (Experimental Clinical Studies)
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The thrust of advances in interventional cardiology has been aimed at treatment of myocardial jeopardy associated with coronary insufficiency. With surgical coronary artery bypass firmly es...
Coronary Sinus Interventions During Surgical Treatment of Acute Myocardial
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The coronary venous connections to the capillary bed of the heart have been described for nearly 100 years,1 yet it was not until the 1940s that clinical application of this concept...
The Selection of Antegrade Versus Retrograde Cardioplegia Delivery
Flordeliza S. Villanueva, William D. Spotnitz, and Sanjiv Kaul
The optimal delivery of cardioplegia to induce and maintain cardiac arrest is fundamen-tal to myocardial preservation during cardiac surgery. Traditional approaches utilizing intracoronary ...
Distribution of Antegrade and Retrograde Cardioplegia-Experimental
Gabriel S. Aldea and Richard S. Shemin
Previously published clinical series do not reflect the evolution of myocardial protection, anesthetic, and surgical revascularization techniques. Despite the relentless progressive increase i...
The Hazards of Ischemia/Reperfusion Injury During Revascularization
Katharina Palisek, Günter Steurer, Hans-Henner Becker and Werner
Enormous advances in surgical, pharmacological, and interventional techniques result-ing in early restoration of infarct artery patency significantly improved outcome in patients with acute co...
Computer Simulation and Modeling of the Coronary Circulation
Friederike Neumann, Martin Neumann, Rudolf Karch, and Wolfgang Schreiner
In the large field of physiological processes such as, for instance, transportation and delivery of substances in the circulatory systems of the body, computer experiments and simulation st...
Regional Differences and Variability in Left Ventricular Wall Motion
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In our understanding of the mechanical performance of the heart as a pump we mostly rely on the famous studies of Otto Frank1 and Ernest Starling2 whose observations h...
Structure and Function of the Cardiac Lymphatic System
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The physiology of the lymphatic system lives like Cinderella at the side of her attractive sisters the physiology of the heart and of the circulation. Lymphatic vessels, however, have been ...
The Anatomical Basis of Coronary Sinus Reperfusion
Michael von Lüdinghausen, Masahiro Miura
The venous drainage system of the myocardium is divided in two parts (Fig. 1):
A. The great (major) cardiac venous drainage system (GCVDS) extends over the surface of the ventricul...
The Venous Drainage of the Myocardium in the Human Heart
Michael von Lüdinghausen, Nobuko Ohmachi and Shoji Chiba
The coronary sinus (cs) is the anatomically appropriate location for the placement of a balloon catheter for retrograde perfusion or revascularization, in particular of the vessels of the l...
Development of Blood Cardioplegia and Retrograde Techniques, The Experimenter/Observer Complex
Gerald D. Buckberg
A surgical colleague, Dr. Mohl, asked me to describe the course of develop-ments in myocardial protection coming from our studies during the past 28 years, as all seems to flow logically. S...
Basic Considerations and Techniques in Coronary Sinus
Werner Mohl
Thank God for the ingenious device of coronary ventricular channels, which relieve the myocardium from the coronary blood and thus prevent accumulations of interstit...
