Have you been diagnosed with Coronary Artery Disease?
This means that some of your blood vessels are constricted or closed off and your doctor has determined that you need a stent or a bypass (also called diversion) to improve blood flow to the heart.
Bypass operations offer excellent results in the short and medium term, but long-term success can be limited by the failure of the connection between the two blood vessels. In a standard bypass operation, this connection is manually attached by a surgeon with a suture. The Elana® Anastomotic System is designed to replace manual suturing in bypass surgery with a standardized clip-and-laser connection. This innovation may allow surgeons in the future to perform bypasses through smaller openings in the chest, potentially reducing recovery time and surgical trauma. Our aim is to make coronary bypass surgery less invasive, more predictable, and easier to perform.
The Elana® Anastomotic System combines a small titanium clip with a laser catheter. The clip connects the graft vessel to the coronary artery, after which the laser creates the opening between the vessels. The clip remains in place to secure the connection. This process is designed to be fast, consistent, and reproducible.
The system is designed to deliver standardized results, reducing the human factor and thereby reducing variability linked to surgical technique. Over time, this may support the wider use of minimally invasive procedures such as MIDCAB or robotic bypass surgery. In addition, the system is intended to allow surgeons to create the connection on a beating heart, avoiding the use of a heart-lung machine in selected cases.
The Elana® technology was first developed for brain surgery, where it has been used successfully in hundreds of patients with complex aneurysms. Building on this proven foundation, AMT Medical has optimized the technology for use in coronary bypass surgery. Our vision is to help surgeons perform minimally invasive bypass operations with greater precision, less trauma, and faster recovery for patients.
‘‘The clip is about as tiny as my eight-years old’s fingernail. We believe that minimally-invasive coronary artery bypass surgery with this device will be less traumatic and damaging for the patient. So, the recovery time will be shorter. And above all, the anastomosis will be standardized.”
Dr. Patrick Klein
Cardiothoracic surgeon at St Antonius Hospital in The Netherlands
Elana is a registered trademark of AMT Medical BV.