Percutaneous coronary sinus catheterization for minimally invasive cardiac surgery--more questions than answers?

摘要

A VARIETY OF cardiac operations are being performed now through small incisions or thoracoscopic ports that may not allow for the direct placement of a coronary sinus catheter for the administration of retrograde cardioplegia. In some centers, specially designed coronary sinus catheters are being placed percutaneously by the anesthesiologist. Minimally invasive cardiac surgery is not new although the techniques and the equipment continue to evolve. In 1998, this Journal published an article titled "Coronary Sinus Catheterization Made Easy for Port-Access Minimally Invasive Cardiac Surgery."1 Despite the interest in this technique in the late 90s, it is not in widespread use today. In this issue, Lebon et al reported on their experience placing 95 percutaneous coronary sinus catheters from the right internal jugular vein for minimally invasive cardiac surgery.