Angiographic results after minimally invasive coronary bypass grafting using the minimally invasive direct coronary bypass grafting (MIDCAB) approach1

Diegeler, Anno; Matin, M.; Kayser, Steven R.; Binner, Ch; Autschbach, Rüdiger; Battellini, Roberto; Krankenberg, Hans; Mohr, F. W.

doi:10.1016/s1010-7940(99)00004-4

Cited by 60 publications

(32 citation statements)

References 13 publications

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“…[6][7][8][9][10] The reasons for conversion were intramyocardial LAD, LITA injury and hemodynamic instability. 8 The postoperative patency rate was 88%-99%, [7][8][9][11][12][13][14][15][16][17][18][19] as shown in Table 1. Moussa et al reported that the postoperative patency rate varied according to the surgical technique.…”

Section: Left Anterior Small Thoracotomymentioning

confidence: 99%

Coronary artery bypass grafting without full sternotomy

Sasaki

2009

Surg Today

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Coronary artery bypass grafting is performed without full sternotomy in selected patients because it is less invasive. Left internal thoracic artery-left anterior descending artery bypass (LITA-LAD bypass) via a small left anterior thoracotomy is a well established procedure, which achieves good graft patency with low mortality and morbidity rates. Multiple revascularization is possible with a limited lateral thoracotomy or L-figure approach. Axillary-coronary bypass and right gastroepiploic artery-right coronary artery bypass (RGEA-RCA bypass) are alternative methods, especially for redo surgery, in selected patients.

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Section: Left Anterior Small Thoracotomymentioning

confidence: 99%

Coronary artery bypass grafting without full sternotomy

Sasaki

2009

Surg Today

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“…Diegeler and associates 21 performed detailed angiographic studies in their single-center series of patients who had MIDCAB between 1996 and 1998. They were able to get angiograms early postoperatively in 81.5% of patients as well as at 6-month follow-up in 47.9% of patients.…”

Section: Patencymentioning

confidence: 99%

Off-Pump Coronary Artery Bypass Surgery

Black

Ghosh²,

Spyt³

et al. 2004

Asian Cardiovasc Thorac Ann

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Off-pump coronary artery bypass surgery has been adopted enthusiastically worldwide. However, despite more than 6 years' experience and refinement, many surgeons use it only sporadically and some hardly at all. This reluctance persists despite support for the procedure because of the lack of properly designed risk models and/or randomized studies. Although it has not been overwhelmingly shown that off-pump surgery is superior to the conventional on-pump procedure, the technique has its place in our specialty. It has been shown to be better for noncritical end points in selected patients in the hands of selected surgeons. That there are differences in surgical skill among surgeons is something we all know but rarely discuss in public. Until now, disparities in skill have been most salient with uncommon and extraordinarily challenging operations. Perhaps the off-pump procedure should be regarded as the "challenging" aspect of coronary artery bypass surgery, and self-restraint may need to remain in force if we are to continue to achieve the highest level of clinical excellence.

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“…41,100,101 Within one week after off-pump surgery (both thoracotomy and sternotomy incision) the overall patency rate is reported to vary between 95 and 99%, [102][103][104] and for IMA-grafts (mainly thoracotomy incisions) between 97 and 100%. 105,106 Mack reported the intraoperative patency rate for IMA-grafts to be 99%. 107 The randomized study including 120 patients that was a part of paper II in this thesis, stated the intraoperative patency rate of IMA-grafts to be 100% and of vein grafts 97%.…”

Section: Graft Patencymentioning

confidence: 99%