Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements
<i>Background</i>: The non-robotic endoscopic harvest of the internal mammary artery (IMA) facilitates minimally invasive bypass grafting while minimizing chest wall trauma. The technique was pioneered in the early 1990s and has recently regained popularity due to its accessibility and r...
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MDPI AG
2025-02-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| author | De Qing Görtzen Fleur Sampon Joost Ter Woorst Ferdi Akca |
| author_facet | De Qing Görtzen Fleur Sampon Joost Ter Woorst Ferdi Akca |
| author_sort | De Qing Görtzen |
| collection | DOAJ |
| description | <i>Background</i>: The non-robotic endoscopic harvest of the internal mammary artery (IMA) facilitates minimally invasive bypass grafting while minimizing chest wall trauma. The technique was pioneered in the early 1990s and has recently regained popularity due to its accessibility and reproducibility. This review aims to provide an overview of endoscopic IMA harvest from its inception to the present. <i>Methods</i>: In August 2024, a literature search was performed using the electronic databases of the Cochrane Controlled Trials Register (CCTR) and PubMed. To obtain optimal search results, the keywords “<i>thoracoscopic</i>”, “<i>endoscopic</i>”, “<i>minimally invasive</i>”, “<i>video-assisted</i>”, “<i>video-assisted thoracoscopic surgery VATS</i>”, and “<i>internal mammary artery</i>” or “<i>internal thoracic artery</i>” were used, excluding the term “<i>robotic</i>”. References from the extracted articles were also reviewed to identify additional studies on endoscopic IMA harvest. <i>Results</i>: A total of 17 articles were included in the final analysis. Left internal mammary artery (LIMA) harvest times of between 17 and 164 min were reported, with an injury to LIMA rates between 0.7 and 2.2%. <i>Conclusions</i>: After a 15-year period without scientific publications, interest in the endoscopic-assisted approach has rekindled in recent years due to the reduction in chest trauma compared to direct vision harvest and the widespread availability of conventional endoscopic tools. This renewed focus underscores the potential to make minimally invasive coronary surgery available in all centers. |
| format | Article |
| id | doaj-art-48eea8faafad4b7cbcb80d2146f1e0d4 |
| institution | DOAJ |
| issn | 2308-3425 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
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| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-48eea8faafad4b7cbcb80d2146f1e0d42025-08-20T03:12:08ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-02-011226810.3390/jcdd12020068Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent AdvancementsDe Qing Görtzen0Fleur Sampon1Joost Ter Woorst2Ferdi Akca3Department of Cardiothoracic Surgery, Catharina Hospital, 5623 EJ Eindhoven, The NetherlandsDepartment of Cardiothoracic Surgery, Catharina Hospital, 5623 EJ Eindhoven, The NetherlandsDepartment of Cardiothoracic Surgery, Catharina Hospital, 5623 EJ Eindhoven, The NetherlandsDepartment of Cardiothoracic Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands<i>Background</i>: The non-robotic endoscopic harvest of the internal mammary artery (IMA) facilitates minimally invasive bypass grafting while minimizing chest wall trauma. The technique was pioneered in the early 1990s and has recently regained popularity due to its accessibility and reproducibility. This review aims to provide an overview of endoscopic IMA harvest from its inception to the present. <i>Methods</i>: In August 2024, a literature search was performed using the electronic databases of the Cochrane Controlled Trials Register (CCTR) and PubMed. To obtain optimal search results, the keywords “<i>thoracoscopic</i>”, “<i>endoscopic</i>”, “<i>minimally invasive</i>”, “<i>video-assisted</i>”, “<i>video-assisted thoracoscopic surgery VATS</i>”, and “<i>internal mammary artery</i>” or “<i>internal thoracic artery</i>” were used, excluding the term “<i>robotic</i>”. References from the extracted articles were also reviewed to identify additional studies on endoscopic IMA harvest. <i>Results</i>: A total of 17 articles were included in the final analysis. Left internal mammary artery (LIMA) harvest times of between 17 and 164 min were reported, with an injury to LIMA rates between 0.7 and 2.2%. <i>Conclusions</i>: After a 15-year period without scientific publications, interest in the endoscopic-assisted approach has rekindled in recent years due to the reduction in chest trauma compared to direct vision harvest and the widespread availability of conventional endoscopic tools. This renewed focus underscores the potential to make minimally invasive coronary surgery available in all centers.https://www.mdpi.com/2308-3425/12/2/68endoscopic harvestthoracoscopicvideo-assistedVATSinternal mammary artery |
| spellingShingle | De Qing Görtzen Fleur Sampon Joost Ter Woorst Ferdi Akca Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements Journal of Cardiovascular Development and Disease endoscopic harvest thoracoscopic video-assisted VATS internal mammary artery |
| title | Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements |
| title_full | Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements |
| title_fullStr | Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements |
| title_full_unstemmed | Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements |
| title_short | Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements |
| title_sort | non robotic endoscopic assisted internal mammary artery harvest a historical review and recent advancements |
| topic | endoscopic harvest thoracoscopic video-assisted VATS internal mammary artery |
| url | https://www.mdpi.com/2308-3425/12/2/68 |
| work_keys_str_mv | AT deqinggortzen nonroboticendoscopicassistedinternalmammaryarteryharvestahistoricalreviewandrecentadvancements AT fleursampon nonroboticendoscopicassistedinternalmammaryarteryharvestahistoricalreviewandrecentadvancements AT joostterwoorst nonroboticendoscopicassistedinternalmammaryarteryharvestahistoricalreviewandrecentadvancements AT ferdiakca nonroboticendoscopicassistedinternalmammaryarteryharvestahistoricalreviewandrecentadvancements |