Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2019 / Cilt: 27 - Sayı: 4

Minimally invasive total arterial off-pump coronary revascularization: A reproducible technique

Pages
455–457
Publication Date
2022-09-02
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

While being the most practiced and easilyreproducible, this approach maybe associated withsignificant morbidity in both short- and long-term.

📌 3 Key Takeaways

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Objective & Hypothesis:It has been over five decades since the first coronaryartery bypass grafting (CABG) of a left internalthoracic artery (LITA) to the left anterior descending(LAD) artery was described by Kolesov in 1964.[1,2]The use of the saphenous vein and radial artery asconduits and the feasibility of multiple coronarybypass grafts was described soon thereafter.[3,4] WhileCABG is accepted as recommended therapy for multivesseldisease requiring revascularization, the standardapproach toward this goal has been through a fullsternotomy.
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Key Findings & Data:It has been over five decades since the first coronaryartery bypass grafting (CABG) of a left internalthoracic artery (LITA) to the left anterior descending(LAD) artery was described by Kolesov in 1964.[1,2]The use of the saphenous vein and radial artery asconduits and the feasibility of multiple coronarybypass grafts was described soon thereafter.[3,4] WhileCABG is accepted as recommended therapy for multivesseldisease requiring revascularization, the standardapproach toward this goal has been through a fullsternotomy.
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Conclusion & Impact:While being the most practiced and easilyreproducible, this approach maybe associated withsignificant morbidity in both short- and long-term.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

It has been over five decades since the first coronaryartery bypass grafting (CABG) of a left internalthoracic artery (LITA) to the left anterior descending(LAD) artery was described by Kolesov in 1964.[1,2]The use of the saphenous vein and radial artery asconduits and the feasibility of multiple coronarybypass grafts was described soon thereafter.[3,4] WhileCABG is accepted as recommended therapy for multivesseldisease requiring revascularization, the standardapproach toward this goal has been through a fullsternotomy. While being the most practiced and easilyreproducible, this approach maybe associated withsignificant morbidity in both short- and long-term.

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Cite This Article

Nambala, S. (2022). Minimally invasive total arterial off-pump coronary revascularization: A reproducible technique. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 27 - Sayı: 4, 455–457. https://ajindex.com/articles/423826

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References (11)

  1. Kolesov VI, Potashov LV. Surgery of coronary arteries. Eksp Khir Anesteziol 1965;10:3-8
  2. Spencer FC, Yong NK, Prachuabmoh K. Internal mammary-coronary artery anastomoses performed during cardiopulmonary bypass. J Cardiovasc Surg (Torino) 1964:292-7
  3. Favaloro RG. Landmarks in the development of coronary artery bypass surgery. Circulation 1998;98:466-78
  4. Favaloro RG. Saphenous vein autograft replacement of severe segmental coronary artery occlusion: operative technique. Ann Thorac Surg 1968;5:334-9
  5. Detter C, Reichenspurner H, Boehm DH, Thalhammer M, Schütz A, Reichart B. Single vessel revascularization with beating heart techniques -- minithoracotomy or sternotomy? Eur J Cardiothorac Surg 2001;19:464-70
  6. Holzhey DM, Jacobs S, Mochalski M, Walther T, Thiele H, Mohr FW, et al. Seven-year follow-up after minimally invasive direct coronary artery bypass: experience with more than 1300 patients. Ann Thorac Surg 2007;83:108-14
  7. McGinn JT Jr, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual-center experience in 450 consecutive patients. Circulation 2009;120(11 Suppl):S78-84
  8. Tranbaugh RF, Schwann TA, Swistel DG, Dimitrova KR, Al-Shaar L, Hoffman DM, et al. Coronary Artery Bypass Graft Surgery Using the Radial Artery, Right Internal Thoracic Artery, or Saphenous Vein as the Second Conduit. Ann Thorac Surg 2017;104:553-9
  9. Taggart DP, Altman DG, Gray AM, Lees B, Gerry S, Benedetto U, et al. Randomized trial of bilateral versus single internal-thoracic-artery grafts. N Engl J Med 2016;375:2540-9
  10. Ruel M, Shariff MA, Lapierre H, Goyal N, Dennie C, Sadel SM, et al. Results of the minimally invasive coronary artery bypass grafting angiographic patency study. J Thorac Cardiovasc Surg 2014;147:203-8
  11. Une D, Lapierre H, Sohmer B, Rai V, Ruel M. Can minimally invasive coronary artery bypass grafting be initiated and practiced safely?: a learning curve analysis. Innovations (Phila) 2013;8:403-9.