The Clinical Outcome and Quality of Life Following Minimally Invasive Direct Coronary Artery Bypass Surgery

Al‐Ruzzeh, Sharif; Mazrani, Waseem; Wray, Jo; Modine, Thomas; Nakamura, Koki; George, Sandhya; Ilsley, Charles; Amrani, Mohamed

doi:10.1111/j.0886-0440.2004.04003.x

Cited by 28 publications

(18 citation statements)

References 22 publications

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“…For MIDCAB studies, data on quality of life at mid-to long-term follow-up are scarce; 75 patients had similar quality of life compared to an age-matched group after 1 year of follow-up(27). The observed decline in physical functioning in both groups is in line with another study reflecting the reduction of general health due to the advancement of age(28).…”

supporting

confidence: 52%

Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery

Blazek

Rossbach

Borger

et al. 2015

JACC: Cardiovascular Interventions

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supporting

confidence: 52%

Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery

Blazek

Rossbach

Borger

et al. 2015

JACC: Cardiovascular Interventions

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“…In women, MIDCAB scars can easily be hidden in the inframammary crease. Patient satisfaction has been excellent and recovery rapid following MIDCAB (77). The advent of peripheral cannulation techniques and endoluminal aortic occlusion balloons has allowed MIDCAB to be performed either on-or off-pump.…”

Section: Minimally Invasive and Robotic Coronary Revascularizationmentioning

confidence: 99%

Off‐pump, minimally invasive and robotic coronary revascularization yield improved outcomes over traditional on‐pump CABG

Atluri

Kozin

Hiesinger

et al. 2008

Robotics Computer Surgery

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Coronary artery disease is a global health concern, with increasing morbidity and mortality. Surgical coronary artery bypass grafting has been performed on cardiopulmonary bypass for nearly four decades, with excellent long-term durability. Beating-heart coronary surgery has been increasing in frequency in an attempt to decrease cardiopulmonary bypass-related morbidity. Furthermore, with increasing expertise and technology, minimally invasive and robotic techniques have been developed to enhance postoperative recovery, patient satisfaction and cosmesis. Several clinical trials have demonstrated decreased morbidity and more rapid recovery following off-pump, minimally invasive and robotic procedures when compared to on-pump coronary artery bypass grafts (CABGs). An equivalent extent of revascularization and medium-term anastomotic patency has been demonstrated among all approaches. Furthermore, for a large number of patients who do not have anatomy amenable to traditional coronary revascularization, adjunctive molecular therapies may provide alternative myocardial micro-revascularization.

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“…The aims of new surgical methods are not only for reducing symptoms and mortality, but also for improving health-related activities of daily life and reducing pain (7)(8)(9). The term "key hole surgery" implies that patients will have less discomfort and less impairment of their daily activities.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome, pain perception and activities of daily life after minimally invasive coronary artery bypass grafting

Uymaz¹,

Sezer²,

Coşkun³

et al. 2014

Anadolu Kardiyol Derg

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Objective: Minimally invasive direct coronary artery bypass (MIDCAB) for revascularization of the left anterior descending artery has become a routine operation. We present our clinical experiences with beating heart MIDCAB surgery performed through partial lower sternotomy (PLS) and retrospectively compare the results of pain perception as well as activities of daily life (ADL) with the conventional full sternotomy. Methods: From January 2009 to August 2012, 197 patients underwent MIDCAB using modified PLS at our hospital. Their mean age was 58.5±10.5 years. 54 (28%) had previous myocardial infarction, 38 (19%) had diabetes mellitus. The visual analog scale (VAS) for pain one, two and three, the ADL score for mobilization were obtained within four days after surgery. 98% of patients were followed-up with both direct visits and questionnaires to assess the major adverse cardiac events (MACE). We performed t-test for comperative data and Kaplan-Meier curves for survival analysis.Results: There was one postoperative death (0.5%) and three conversions to full sternotomy (1.5%). Postoperative angiography was performed in 34 (17.2%) patients, who had some symptoms during the follow-up period of 45 months. The graft patency rate was 96.5% (190 of 197). At follow-up (24.1±11.7 months), survival free of MACE was 91.8±3.1% at 3.5 years. Both the Visual Analog Scale (VAS 35.1±9.6 vs. 57.1±7.8) and the ADL score (80.4±11.8 vs. 36.2±8.6) were significantly higher after the operation in comparison to the matched group of beating heart revascularizations with full sternotomy (p<0.001). Conclusion: This study demonstrates that the MIDCAB using PLS can achieve an effective intermediate-term revascularization and an acceptable clinical outcome. Patients who undergo this procedure are free of major complications and enjoy good quality of life after surgery.

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The Clinical Outcome and Quality of Life Following Minimally Invasive Direct Coronary Artery Bypass Surgery

Abstract: MIDCAB is a safe surgical treatment and provides excellent clinical and HRQOL outcomes.

Cited by 28 publications

References 22 publications

Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery

Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery

Off‐pump, minimally invasive and robotic coronary revascularization yield improved outcomes over traditional on‐pump CABG

Clinical outcome, pain perception and activities of daily life after minimally invasive coronary artery bypass grafting

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