Mid-Term Follow-Up of Minimally Invasive Multivessel Coronary Artery Bypass Grafting

Coronary Artery Bypass Grafting using Bilateral Internal Thoracic Arteries through a Left-Sided Minithoracotomy: A Single-Center Starting Experience

“…Pump assistance has been shown to alleviate the learning curve and avoid conversion to sternotomy. 23,24 Our strategy to avoid hectic conversion to on-pump is to insert an arterial and a venous guidewire through the femoral vessels, positioning them in the descending aorta and in the superior vena cava, respectively. Although there was no conversion to on-pump in our patients, we think that this strategy could save time and avoid injuries to the vessels in case conversion to on-pump is needed.…”

Minimally invasive coronary artery bypass grafting with bilateral internal thoracic arteries: Will this be the future?

“…Minimally invasive coronary artery bypass grafting (CABG) through a left minithoracotomy on its own or associated with hybrid coronary revascularization is being increasingly adopted and seems to be a promising and safe procedure. [1][2][3] Harvesting of bilateral internal thoracic arteries (BITAs) under direct vision through a left minithoracotomy incision and use of the harvested BITAs as a left internal thoracic artery right internal thoracic artery Y (LITA RITA Y) composite conduit for total arterial revascularization has been shown to be feasible with excellent early outcomes. 4 The aim was to show that total arterial revascularization via a left minithoracotomy using BITAs was not only feasible but also a safe and reproducible procedure with excellent midterm outcomes.…”

Review of Contemporary Techniques for Minimally Invasive Coronary Revascularization

“…Long-term clinical data on MICS CABG is limited, but several observational studies for MICS CABG have demonstrated promising clinical results. Studies have reported perioperative mortality rate at a range of 0%-1.3%, 13,14,[18][19][20] perioperative stroke rate from 0%-0.4%, 13,14,19 and conversion rate from 0%-6.7%. 13,19,21 Studies have also found decreased transfusion, and lower surgical site infection rates with MICS CABG, and decreased hospital length of stay (LOS) and earlier return to full physical function in comparison to a sternotomy off-pump coronary artery bypass (OPCAB).…”

“…Studies have reported perioperative mortality rate at a range of 0%-1.3%, 13,14,[18][19][20] perioperative stroke rate from 0%-0.4%, 13,14,19 and conversion rate from 0%-6.7%. 13,19,21 Studies have also found decreased transfusion, and lower surgical site infection rates with MICS CABG, and decreased hospital length of stay (LOS) and earlier return to full physical function in comparison to a sternotomy off-pump coronary artery bypass (OPCAB). 13,14,[22][23][24] The graft patency in MICS CABG was studied by Ruel et al in 2014 where they showed complete revascularization in all 89 patients with 52.5% receiving >3 conduits and 92% patency for all grafts and 100% patency for LIMA at 6 months using computed tomography angiography.…”