ArticleJournal of visualized surgery2026
The Excimer Laser Assisted Non-occlusive Anastomosis (ELANA) Anastomotic System surgical technique to construct distal anastomoses using a novel device in coronary artery bypass grafting.
Article in Journal of visualized surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Coronary artery disease remains a leading cause of morbidity and mortality worldwide. Although coronary artery bypass grafting (CABG) via median sternotomy is the standard treatment for complex multivessel disease, wider adoption of minimally invasive approaches has been limited by the technical difficulty of constructing distal coronary anastomoses on the beating heart. The Excimer Laser Assisted Non-occlusive Anastomosis (ELANA) Anastomotic System is a novel sutureless connector designed to enable reproducible distal anastomoses without interruption of native coronary blood flow. As part of the SAFE-CAB trial, a prospective study evaluating the safety and effectiveness of the ELANA system, we describe the construction of a left internal thoracic artery (LITA) to left anterior descending coronary artery (LAD) anastomosis using this technology. The procedure was performed via median sternotomy in a 63-year-old male with stable angina and two-vessel coronary artery disease. The six-step ELANA technique was executed on the beating heart in a pump-assisted setting. The ELANA-assisted LITA-LAD anastomosis was completed in 20 min, contributing to a total operative time of 185 min. Transit-time flow measurements demonstrated satisfactory graft function, and postoperative recovery was uneventful. Six-month follow-up coronary angiography showed a patent and well-functioning anastomosis, as independently confirmed by cardiology and core laboratory assessment. This case illustrates the feasibility of sutureless, non-occlusive coronary anastomosis using the ELANA system. Ongoing trials and continued device refinement will determine its broader clinical applicability and possibilities in facilitating safe minimally invasive CABG.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.