Microscope-Assisted Coronary Artery Bypass Grafting: Technique and Results

Abstract

The microscope-assisted coronary artery bypass grafting (CABG) is a special technique of direct myocardial revascularization by the operating microscope using special equipment and atraumatic sutures. This method allows to complete elimination of technical errors during the performance of distal anastomoses and can be used to improve the outcomes and quality of conventional technique of operations. This article focuses on a detailed description of the technique for performing a distal anastomosis using a microsurgical technique and an operating microscope. Immediate results of operations are also reported. The data obtained suggest that microscope-assisted CABG is a safe, effective and reproducible procedure.

Simultaneous bicarotid and microscope-assisted coronary revascularization as an individual surgical strategy

“…This method allows performing a high-precision coronary anastomosis while avoiding technical errors, regardless of how poor the condition of the distal coronary bed is. According to the literature, the use of a surgical microscope for CABG allows restoration of blood flow in the coronary arteries with diameters of less than 1.5 mm [ 4 , 5 ].…”

Microscope-assisted coronary artery bypass grafting: features of creating side-to-side anastomosis

“…МАКШ позволяет: а) выполнить коронарный анастомоз и восстановить кровоток в коронарных артериях (КА) малого диаметра (менее 1,5 мм), в том числе при диффузном и дистальном поражении; б) обеспечить прецизионность при сложных реконструктивных вмешательствах на КА с применением различных вариантов эндартерэктомий, шунт-пластик, композитного и секвенциального шунтирования и так далее [1; 3; 4]. В литературе описаны техники дистального коронарного анастомоза по типу «конец-в-бок» с применением операционного микроскопа [4][5][6].…”