Sutureless Anastomoses Secrets for Success
When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the car
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Piergiorgio Tozzi
Sutureless Anastomoses Secrets for Success
With 201 Figures in 393 Separate Illustrations, Most in Color and 16 Tables
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Piergiorgio Tozzi, MD Department of Cardiovascular Surgery Centre Hospitalier Universitaire Vaudois (CHUV) 46, rue du Bugnon CH-1011 Lausanne, Switzerland
ISBN-10 ISBN-13
3-7985-1714-2 Steinkopff Verlag, Darmstadt 978-3-7985-1714-1 Steinkopff Verlag, Darmstadt
Bibliographic information published by Die Deutsche Nationalbibliothek Die Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at http://dnb.d-nb.de. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Steinkopff Verlag, Darmstadt a member of Springer Science+Business Media www.steinkopff.springer.de © Steinkopff Verlag Darmstadt 2007 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature. Medical Editor: Dr. Annette Gasser Production: Klemens Schwind Cover Design: WMX Design GmbH, Heidelberg Typesetting: K + V Fotosatz GmbH, Beerfelden SPIN 11861553
85/7231-5 4 3 2 1 0 – Printed on acid-free paper
To Raffaele and Jolanda
Preface
When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic cardiovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making anastomosis, will kill their profession. Actually, no medical specialty’s demise has been more often predicted and, at the same time, more greatly exaggerated than that of cardiovascular surgery. According to its detractors, beginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more recently with the introduction of drug-eluting stents, cardiovascular surgery
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