scholarly journals Postoperative Early Outcomes of Conventional versus Minimally Invasive Multivessel Coronary Artery Bypass Surgery: Retrospective Study

2021 ◽  
pp. 30-35
Author(s):  
Elif Erdogan ◽  
Gokhan Gokarslan ◽  
Feragat Uygur ◽  
Murat Yardımcı ◽  
Erkan Kaya ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Conventional Method ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Surgical Techniques ◽  
University Hospital ◽  
Aortic Cross Clamp Time ◽  
Duration Of Surgery

Minimally invasive coronary artery bypass grafting (CABG) is a new technique developed in recent years apart from the conventional method. Our first objective is to compare the postoperative early outcomes of conventional and minimally invasive multivessel (MIM) CABG methods, and second objective is to compare perioperative differences between two surgical techniques. This retrospective, comparative study was conducted at a university hospital with 100 patients, who underwent CABG surgery from November, 1 2019 to June, 1 2020. The data of 50 patients, who underwent MIM CABG (Group M), was certain. Among the patients operated with the conventional method (Group C), 50 patients were randomly selected from the same time period. Examination of early postoperative outcomes revealed that Group C had significantly higher intensive care unit (ICU) stay (p=0.013), significantly higher mechanical ventilation time in ICU (p<0.001), and significantly higher isolated systolic blood pressure (p=0.013). Examination of perioperative variables revealed that Group C had significantly shorter duration of surgery (p<0.001), significantly shorter aortic cross-clamp time (p<0.001), significantly shorter cardiopulmonary bypass (CPB) time (p<0.001), significantly lesser graft numbers (p<0.001), significantly lesser left internal mammary artery use (p<0.05), and significantly lesser inotropic support after CPB was discontinued (p<0.05). In the light of these results, MIM CABG was associated with enhanced postoperative early outcomes with prolonged surgery time compared to conventional method.

scholarly journals Implementation of a beating heart system for training in off-pump and minimally invasive coronary artery bypass

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shota Yasuda ◽  
Jef Van den Eynde ◽  
Katrien Vandendriessche ◽  
Munetaka Masuda ◽  
Bart Meyns ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Beating Heart ◽  
Surgical Experience ◽  
Off Pump ◽  
Training Models ◽  
Significant Difference

Abstract Background Several training devices have been developed to train anastomotic skills in off-pump coronary artery bypass grafting (OPCAB). However, assessment of trainees’ improvement remains challenging. The goal of this study was to develop a new practical scoring chart and investigate its reliability and utility for anastomotic skills in OPCAB and minimally invasive direct coronary artery bypass (MIDCAB). Methods A training device was used, which included a beating heart model installed in a dedicated box. A soft plastic tube was used as the left anterior descending artery, and a porcine ureter was used as the left internal mammary artery. Five cardiac surgery fellows (Fellows, > 5 year of surgical experience) and five residents or medical students (Residents, ≤ 5 year of surgical experience) were enrolled for this study. Before and after training, skills were evaluated using a scoring chart that took into account anastomotic time, leakage, shape, flow measurement, and self-estimation. Results Mean total score of all trainees was 15.4 ± 4.0 at pre-training and 18.5 ± 2.4 at post-training (P = 0.05). Before training, there was a significant difference in the total score between Fellows and Residents (18.6 ± 2.2 vs 12.2 ± 2.4 points, P = 0.002), which disappeared after training (19.4 ± 2.5 vs 17.6 ± 2.2 points, P = 0.262). Residents benefitted from training with improvements in their time, total score, score for time, score for flow and subtraction score; however, these effects were not seen in Fellows. The most evident training effect was improvement of self-estimation, which was also seen in Fellows. Conclusions Residents were most likely to derive benefit from these training models with regard to both efficiency and quality. Training models seem to have an important role in making surgeons feel more comfortable with the procedure.

Minimally Invasive Coronary Artery Bypass as a Salvage Procedure

1998 ◽  
Vol 6 (1) ◽  
pp. 62-63
Author(s):  
Rajneesh Malhotra ◽  
Yugal Mishra ◽  
Pankaj Maheshwari ◽  
Yatin Mehta ◽  
Naresh Trehan
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Left Internal Mammary Artery ◽  
Femoral Vein ◽  
Artery Bypass ◽  
Hemodynamic Instability ◽  
Salvage Procedure ◽  
Life Saving ◽  
Internal Mammary

A 58-year-old male patient undergoing for coronary reoperative surgery had hemodynamic instability associated with intractable ventricular fibrillation after induction of anesthesia before starting the surgery. Minimally invasive coronary artery bypass surgery with left internal mammary artery-to-left anterior descending coronary artery anastomosis under percutaneous left femoral artery-to-left femoral vein cardiopulmonary bypass was employed successfully as a life saving measure.

Redo minimally invasive direct coronary artery bypass

2005 ◽  
Vol 53 (S 01) ◽  
Author(s):  
S Jacobs ◽  
V Falk ◽  
D Holzhey ◽  
F Mohr
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Artery Bypass
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