Ramathibodi Intracoronary Shunt (Rama ICS)
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2010-10-08
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract:\ \ Keywords:\ \ Ramathibodi intracoronary shunt, Coronary artery bypass graftRamathibodi Intracoronary Shunt (Rama ICS) is a device used toinsert into the coronary artery via arteriotomy while performing distal anastomosisduring the ็off pump coronary artery bypass graft้ (OPCABG) procedure. The RamaICS is modified and invented from the material simply found in the operating room.The inventing process is simple and inexpensive. A set of the Rama ICS consisted ofa silicone tube, a titanium haemostatic clip, and silk. There are four sizes of transversediameter (0.94, 1.2, 1.65, and 2.0 millimeter) and three sizes in length (20, 30,and 40 millimeter) matching with the diameter of each coronary artery and the lengthof arteriotomy respectively. The Rama ICS has better characteristics over thecommercially imported shunt in terms of better elasticity, transparency, shape fittingto the artery, variety in length, and lower cost. These characteristics can improve thesurgical techniques. In clinical use with 170 patients who underwent the OPCABGprocedure at the Faculty of Medicine, Ramathibodi Hospital, no shunt-relatedcomplication has been found from November 2003 to July 2005 when the datarecord was conducted. In addition, the cost is inexpensive as compared to the oneimported. The application of the Rama ICS demonstrates its cost effectiveness,which conforms to policy of the hospital.
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Ramathibodi Nursing Journal; Vol. 13 No. 1 January - April 2007