Frequency of early occlusion and stenosis in bypass grafts after minimally invasive direct coronary arterial bypass surgery

Moussa, Issam; Oetgen, Mathew; Subramanian, V A; Kobayashi, Yoshio; Patel, Nilesh; Moses, Jeffrey W.

doi:10.1016/s0002-9149(01)01650-2

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…Novel approaches to CABG, including minimally invasive techniques and "beating heart" surgery, may also contribute to the increased incidence of graft failure. 28,29 There is a clearly defined learning curve with these methods that may contribute to this phenomenon. No patients requiring rescue PCI following CABG in this series had been exposed to either of these novel techniques.…”

Section: Interventional Back-up For Cardiac Surgerymentioning

confidence: 99%

Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon

Adams¹,

Orford²,

Blake³

et al. 2002

Clinical Cardiology

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SummaryBackground: Despite decreasing rates of acute and subacute complications of percutaneous coronary intervention (PCI), these procedures are generally only performed in centers where it is possible for failed PCI to be treated by rescue coronary artery bypass graft (CABG). Case reports and case series have documented successful PCI following failed CABG. We sought to confirm this decrease in the need for rescue CABG following failed PCI and to examine trends in the utilization of rescue PCI following failed CABG.Hypothesis: The interface between interventional cardiologist and cardiac surgeon is characterized by changing practice patterns and resource utilization.Methods: We examined the medical records of all patients admitted to the Brigham and Women's Hospital over a 7-year period and identified 169 patients who required both PCI and CABG during the same hospital admission. We describe and compare three predetermined groups of patients defined by the sequence of, and indication for, the relevant myocardial revascularization procedures.Results: In all, 100 patients required CABG for failed PCI, 46 patients had planned hybrid procedures involving both

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Section: Interventional Back-up For Cardiac Surgerymentioning

confidence: 99%

Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon

Adams¹,

Orford²,

Blake³

et al. 2002

Clinical Cardiology

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“…This study demonstrated ≥ 50% stenosis of the LIMA in 7.8% and total occlusion in 1.3%. Comparatively, Moosa and colleagues demonstrated complete LIMA occlusion in 6% and ≥ 50% stenosis in 10.1% of patients undergoing routine angiography 4.6 days after MIDCAB. As such, monitoring of anastamotic patency, particularly in the early years of TECAB experience, is paramount.…”

Section: Resultsmentioning

confidence: 97%

Challenges facing totally endoscopic robotic coronary artery bypass grafting

Moscarelli

Harling

Ashrafian

et al. 2014

Int J Med Robotics Comput Assist Surg

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Robotic surgery today is presented with challenges, including dealing with a non-perfect robot without haptic control, a steep learning curve, lack of established training criteria and high cost. Strategies such as structured, simulated training and novel anastomotic devices may potentially shorten the learning curve, improve patency and facilitate grafting in multi-vessel disease. Future challenges will include the ability to demonstrate long-term patency, morbidity and mortality at least comparable to conventional CABG, whilst also offering cost effectiveness in this increasingly difficult economic environment.

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“…Moussa et al reported that the postoperative patency rate varied according to the surgical technique. 11 In their series (n = 227), the patency rates of grafts before the introduction of a mechanical stabilizer, after the introduction of a mechanical stabilizer, and after the introduction of a mechanical stabilizer and intraluminal shunt were 62%, 93%, and 96%, respectively, with an overall patency rate of 88% (199/227). Jatene et al also reported that postoperative patency varied according to the surgical technique.…”

Section: Left Anterior Small Thoracotomymentioning

confidence: 98%

“…[6][7][8][9][10] The reasons for conversion were intramyocardial LAD, LITA injury and hemodynamic instability. 8 The postoperative patency rate was 88%-99%, [7][8][9][11][12][13][14][15][16][17][18][19] as shown in Table 1. Moussa et al reported that the postoperative patency rate varied according to the surgical technique.…”

Section: Left Anterior Small Thoracotomymentioning

confidence: 99%

Coronary artery bypass grafting without full sternotomy

Sasaki

2009

Surg Today

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Coronary artery bypass grafting is performed without full sternotomy in selected patients because it is less invasive. Left internal thoracic artery-left anterior descending artery bypass (LITA-LAD bypass) via a small left anterior thoracotomy is a well established procedure, which achieves good graft patency with low mortality and morbidity rates. Multiple revascularization is possible with a limited lateral thoracotomy or L-figure approach. Axillary-coronary bypass and right gastroepiploic artery-right coronary artery bypass (RGEA-RCA bypass) are alternative methods, especially for redo surgery, in selected patients.

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Frequency of early occlusion and stenosis in bypass grafts after minimally invasive direct coronary arterial bypass surgery

Cited by 13 publications

References 7 publications

Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon

Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon

Challenges facing totally endoscopic robotic coronary artery bypass grafting

Coronary artery bypass grafting without full sternotomy

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