Assistive Techniques for Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting

A Novel Technique of No-Touch Endoscopic Saphenous Vein Harvesting

“…After the preparation, the proximal anastomosis of SVG was performed as usual without any difficulty. 8,9 The average harvesting time was less than 60 min, and the NT-SVG quality was maintained (Fig. 3).…”

“…After the preparation, the proximal anastomosis of SVG was performed as usual without any difficulty. 8,9…”

Adjunctive Technique for Proximal Anastomosis via Right Anterior Small Thoracotomy in Minimally Invasive Coronary Artery Bypass Grafting

“…Innovations 19 (2) wound protector into the pericardium through the RAST, after opening the ICS using a small metal retractor. This method allows the ascending aorta to be very close to the right-side skin incision, which conveniently positions the anastomosis site.…”

“…Minimally invasive coronary artery bypass grafting (MICS CABG) has become popular in recent years, and favorable outcomes have been reported by various sources. 1 Despite advancements that have facilitated proximal anastomosis of the ascending aorta through left small thoracotomy, 2 certain challenges persist. The difficulty of using a side clamp in MICS CABG is particularly pronounced in patients with atherosclerosis and plaques along the ascending aorta and in those with a dilated heart due to poor cardiac function, thus limiting the range of indications for MICS CABG.…”