Minimally invasive port-access coronary artery bypass grafting with early angiographic follow-up: Initial clinical experience

Abstract

These results demonstrate that Port-Access coronary artery bypass can be performed accurately and safely with acceptable morbidity. This approach allows for multivessel revascularization on an arrested, protected heart with excellent anastomotic precision and reproducible early graft patency.

Multivessel coronary bypass grafting with minimal access using cardiopulmonary bypass

“…Ribikove [6] reported the first angiographic data in 1997. Pre-discharge angiograms were completed in 37 patients undergoing primary CABG.…”

“…3 month 28 Ribakove et al [6] 100% LIMA-LAD Before discharge 27 98% overall Barlow et al [14] 100% LIMA-LAD 12 weeks 10 Vigano et al [15] 97.6% Postoperative 20…”

A New Endo Aortic Occlusion Balloon for Limited Access Cardiac Surgery: Development and Clinical Evaluation

“…1,2,4,5 In the Heartport system, aortic clamping is performed by the Endo Aortic Clamp (EAC) balloon catheter. The EAC balloon catheter in the Heartport system is inserted into the aorta via an artery in the lower limb.…”

“…[1][2][3][4][5][6][7][8][9] These are collectively called minimally invasive cardiac surgery (MICS), in which minimal skin incisions are made. The advantages of these techniques are less invasiveness to the patient, faster postoperative recovery, and a shorter hospital stay than in conventional cardiac surgery, all of which should contribute to improved patient care and a reduced financial burden.…”

Recent Trends in Minimally Invasive Cardiac Surgery

“…4). Reports confirmed the safety and efficacy of this approach in valvular surgery [8, 9] as well as coronary artery bypass operations [10, 11]. Comparison with median sternotomy demonstrated reductions in both postoperative length of stay and direct hospital costs [12, 13].…”