Many techniques for coronary artery occlusion are currently being
used in conjunction with stabilization technology to prevent coronary
trauma. In the following technique, a pledget and silastic tape
are used to apply occlusion pressure (Figure 9):
1. Place pledgeted silastic tape around the coronary artery.
2. Perform the arteriotomy while blood is flowing through the
artery in order to minimize the risk of perforating the back wall
of the artery.
3. Slide the pledget down while gently pulling up on the silastic
tape just to the point of hemostasis.
4. Place a small titanium ligaclip on the silastic tape to maintain