Minimally invasive coronary artery bypass grafting with ultrasonically skeletonized internal thoracic artery

Tachibana, Kazutoshi; Kikuchi, Keita; Narayama, Kouhei; Okawa, Akihito; Iwashiro, Yu; Arihara, Ayaka; Yamauchi, Akihiko

doi:10.1016/j.xjtc.2022.05.010

Cited by 8 publications

(5 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, no significant difference in the median number of distal anastomoses (2 [1][2] in the Low EF groupvs. 2 [1][2][3] in the Normal EF group; p = 0.073) was found. We consider MICSOPCAB advantageous over conventional OPCAB because it does not require moving the heart much when making an anastomosis of the lateral and posterior walls due to a lateral chest wall incision.…”

Section: Technical Tips and Tricks For Micsopcab In Patients With Imp...mentioning

confidence: 83%

“…MICSOPCAB has advantages over conventional off-pump coronary artery bypass (OPCAB) via median sternotomy, e.g., better cosmetics, less bleeding, and rapid recovery (1,2). However, MICSOPCAB is technically difficult; therefore, previous studies have indicated that MICSOPCAB should be contraindicated in patients with impaired left ventricular (LV) function (3)(4)(5). Our institute has performed MICSOPCAB as a standard procedure in selected patients with favorable coronary anatomy regardless of LV function.…”

Section: Introductionmentioning

confidence: 99%

“…No differences were found in the operative time (180 [160-240] min in the Low EF group vs. 205 [165-253] min in the Normal EF group; p = 0.231) and the median number of distal anastomoses (2 [1-2] in the Low EF group vs. 2 [1-3] in the Normal EF group; p = 0.073). The comparison of an average number of distal anastomoses between the first (n = 65) and later 3 years (n = 161) is shown in Figure 3.The number of grafts was significantly higher in Normal EF group (1[1][2] in the Low EF group vs. 2[1][2][3] in the Normal EF group; p = 0.008). The total and multiple arterial graft proportions showed no significant differences between groups (15.4% and 23.0% in the Low EF group vs. 23.0% and 25.7% in the Normal EF group; p = 0.294 and 0.171, respectively).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Off-pump minimally invasive coronary artery bypass grafting in patients with left ventricular dysfunction: the lampang experience

Ushioda,

Hirofuji,

Yoongtong

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

IntroductionThe minimally invasive cardiac surgery off-pump coronary artery bypass (MICSOPCAB) is technically difficult; therefore, previous studies have indicated that MICSOPCAB should be contraindicated in patients with impaired left ventricular (LV) function. In this study, we investigated the feasibility of MICSOPCAB in patients with impaired LV function.MethodsThe 226 patients underwent MICSOPCAB between August 2017 and September 2022. Our study defined impaired LV function as ejection fraction (EF) in echocardiography 40% or less. The patients were divided into Low EF group (n = 39) and Normal EF group (n = 187).ResultsThe Low EF group was in a more critical preoperative condition than Normal EF group (41.0% in the Low EF group vs. 14.4% in the Normal EF group; p < 0.001). For preoperative transthoracic echocardiography, LV end-diastolic diameter (5.5 ± 0.9 cm in the Low EF group vs. 5.0 ± 0.8 cm in the Normal EF group; p < 0.001) and LV end-systolic diameter (4.4 ± 1.0 cm in the Low EF group vs. 3.4 ± 1.0 cm in the Normal EF group; p < 0.001) were significantly larger in the Low EF group. No differences were found in the operative time (180 [160–240] min in the Low EF group vs. 205 [165–253] min in the Normal EF group; p = 0.231) and the median number of distal anastomoses (2 [1–2] in the Low EF group vs. 2 [1–3] in the Normal EF group; p = 0.073). Intensive care unit stay was longer in the Low EF group than in the Normal EF group (2 [1–2] in the Low EF group vs. 1 [1–2] in the Normal EF group; p = 0.010). Perioperative transfusion was more common in the Low EF group than in the Normal EF group (69.7% vs. 49.2%; p = 0.023). There were no differences in major complications, hospital stay, and 30-day mortality. The Kaplan–Meier curve showed no significant difference in postoperative major adverse cardiac or cerebrovascular events rates between the two groups (p = 0.185)ConclusionIn this study, MICSOPCAB can be performed in patients with low EF having short- and mid-term outcomes similar to patients with normal EF. Therefore, low EF should not be contraindicated in MICSOPCAB.

show abstract

Section: Technical Tips and Tricks For Micsopcab In Patients With Imp...mentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Off-pump minimally invasive coronary artery bypass grafting in patients with left ventricular dysfunction: the lampang experience

Ushioda,

Hirofuji,

Yoongtong

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…Despite the excellent outcomes of MICS CABG, 1,6 challenges persist in patients with multivessel MICS CABG, including reliable right ITA harvesting and ensuring secure proximal anastomosis. Previous reports have highlighted the use of a HeartString for proximal anastomosis via right anterior small thoracotomy (RAST) access.…”

Section: Discussionmentioning

confidence: 99%

Adjunctive Technique for Proximal Anastomosis via Right Anterior Small Thoracotomy in Minimally Invasive Coronary Artery Bypass Grafting

Sakai,

Kikuchi,

Masuda

et al. 2024

Innovations�(Phila)

Self Cite

View full text Add to dashboard Cite

“…More experienced surgeons perform MICAB surgery so that hemostasis may be more effective. In addition, using harmonic devices to harvest ITA in these series may reduce postoperative bleeding [23].…”

Section: Discussionmentioning

confidence: 99%

The Feasibility and Early Results of Multivessel Minimally Invasive Coronary Artery Bypass Grafting for All Comers

Demirsoy,

Mavioglu,

Dogan

et al. 2023

JCM

View full text Add to dashboard Cite

Objectives: Cardiovascular surgery advancements have emerged with various minimally invasive approaches for treating multivessel coronary disease to improve outcomes and minimize the burden associated with conventional cardiac surgery. We present our clinical experience and minimally invasive coronary bypass techniques through minithoracotomy, which we apply without selection to patients who have decided to have elective surgery for multivessel isolated coronary artery disease. Methods: It consists of 230 consecutive patients operated by the same team with this method between July 2020 and September 2022. The patients were assigned to one of the two methods preoperatively to their accompanying comorbidities and operated on either with blood cardioplegia via 5 to 7 cm left anterior minithoracotomy, with on-pump clamped technique or without pump via left anterolateral minithoracotomy. Results: Mortality was observed in two of our patients (0.9%), but myocardial infarction was not observed in our patients in the early postoperative period. None of our patients required conversion to sternotomy (0%). Five patients’ needed reoperation from the same incision due to postoperative bleeding (2.2%), and atrial fibrillation developed in 17 patients in the postoperative period (7.4%). The mean number of bypasses was found to be 3.0 ± 0.9. Conclusions: Minimally invasive coronary artery bypass surgery via minithoracotomy can be routinely reproduced safely. More long-term results and more multicenter studies are needed for more widespread acceptance of the technique.

show abstract

Minimally invasive coronary artery bypass grafting with ultrasonically skeletonized internal thoracic artery

Cited by 8 publications

References 30 publications

Off-pump minimally invasive coronary artery bypass grafting in patients with left ventricular dysfunction: the lampang experience

Off-pump minimally invasive coronary artery bypass grafting in patients with left ventricular dysfunction: the lampang experience

Adjunctive Technique for Proximal Anastomosis via Right Anterior Small Thoracotomy in Minimally Invasive Coronary Artery Bypass Grafting

The Feasibility and Early Results of Multivessel Minimally Invasive Coronary Artery Bypass Grafting for All Comers

Contact Info

Product

Resources

About