Short and long-term results of endoscopic atraumatic coronary artery off-pump bypass grafting in patients with left anterior descending artery stenosis

Abstract

Background:To perform a retrospective analysis of patients who underwent endoscopic atraumatic coronary artery off-pump bypass grafting (EACAB) in a single center over a period of 11 years.Methods: Data was acquired from the hospital registry and patient medical records. In order to determine changes in clinical profile, patients were subdivided into three groups regarding year of surgery:

One-stage hybrid coronary revascularization for the treatment of multivessel coronary artery disease— Periprocedural and long-term results from the “HYBRID-COR” feasibility study

“…The LITA-LAD graft is associated with superior long-term patency compared to PCI ( 6 ) and the long-term results of EACAB surgery are outstanding ( 7 ). Furthermore, the LITA-LAD grafting reduces the need for future revascularization in the non-LAD vessels while providing long-term relief from anginal episodes ( 8 ).…”

The current role and future perspectives of minimally invasive coronary artery bypass grafting

“…Conventional MIDCAB procedures have been associated with excellent long-term outcomes (11) and have been shown to be comparable to both conventional CABG and PCI (12,13). EACAB has also been associated with excellent perioperative outcomes, with rates of conversion to sternotomy and LITA injury lower than 1% (8). Similarly, RACAB also provides excellent results with low perioperative mortality and bleeding and acceptable patency rates (14).…”

“…However, some modifications of the procedure such as Endoscopic Atraumatic Coronary Artery Bypass (EACAB) and Robotic Assisted Coronary Artery Bypass (RACAB) have been developed, but have not gained widespread adoption. EACAB involves harvest of the LITA with the help of an endoscope and a harmonic scalpel (8), whereas in RACAB the LITA is harvested with robotic assistance that provides high-definition exposure and 3-D telemanipulation, which facilitates the harvesting of the LITA without distorting the thorax (9). However, following LITA harvest, a hand-made anastomosis is performed through a small thoracotomy incision similar to that performed during the conventional MIDCAB procedure.…”