Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature

Minimally invasive coronary revascularisation was originally developed in the mid 1990s as minimally invasive direct coronary artery bypass (MIDCAB) grafting is a less invasive approach compared to conventional coronary artery bypass grafting (CABG) to address targets in the left anterior descending...

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Main Authors: Karel M Van Praet, Markus Kofler, Timo Z Nazari Shafti, Alaa Abd El Al, Antonia van Kampen, Andrea Amabile, Gianluca Torregrossa, Jörg Kempfert, Volkmar Falk, Husam H Balkhy, Stephan Jacobs
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-05-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articleindex/icr.2021.05
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author Karel M Van Praet
Markus Kofler
Timo Z Nazari Shafti
Alaa Abd El Al
Antonia van Kampen
Andrea Amabile
Gianluca Torregrossa
Jörg Kempfert
Volkmar Falk
Husam H Balkhy
Stephan Jacobs
author_facet Karel M Van Praet
Markus Kofler
Timo Z Nazari Shafti
Alaa Abd El Al
Antonia van Kampen
Andrea Amabile
Gianluca Torregrossa
Jörg Kempfert
Volkmar Falk
Husam H Balkhy
Stephan Jacobs
author_sort Karel M Van Praet
collection DOAJ
description Minimally invasive coronary revascularisation was originally developed in the mid 1990s as minimally invasive direct coronary artery bypass (MIDCAB) grafting is a less invasive approach compared to conventional coronary artery bypass grafting (CABG) to address targets in the left anterior descending coronary artery (LAD). Since then, MIDCAB has evolved with the adoption of a robotic platform and the possibility to perform multivessel bypass procedures. Minimally invasive coronary revascularisation surgery also allows for a combination between the benefits of CABG and percutaneous coronary interventions for non-LAD lesions – a hybrid approach. Hybrid coronary revascularisation results in fewer blood transfusions, shorter hospital stay, decreased ventilation times and patients return to work sooner when compared to conventional CABG. This article reviews the available literature, describes standard approaches and considers topics, such as limited access procedures, indications and patient selection, diagnostics and imaging, techniques, anastomotic devices, hybrid coronary revascularisation and outcome analysis.
format Article
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institution OA Journals
issn 1756-1477
1756-1485
language English
publishDate 2021-05-01
publisher Radcliffe Medical Media
record_format Article
series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-7b57946905fc4ec5afafaa6308dfd8ae2025-08-20T01:56:34ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852021-05-011610.15420/icr.2021.05Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available LiteratureKarel M Van Praet0Markus Kofler1Timo Z Nazari Shafti2Alaa Abd El Al3Antonia van Kampen4Andrea Amabile5Gianluca Torregrossa6Jörg Kempfert7Volkmar Falk8Husam H Balkhy9Stephan Jacobs10Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany; ZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, GermanyDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, GermanyDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany; ZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, Germany; Berlin Institute of Health, Berlin, GermanyDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, GermanyZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, Germany; Leipzig Heart Center, University Clinic for Cardiac Surgery, Leipzig, GermanyDivision of Minimally Invasive and Robotic Cardiac Surgery, Department of Surgery, University of Chicago, Chicago, IL, USDivision of Minimally Invasive and Robotic Cardiac Surgery, Department of Surgery, University of Chicago, Chicago, IL, USDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany; ZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, GermanyDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany; ZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, Germany; Berlin Institute of Health, Berlin, Germany; Department of Cardiovascular Surgery, Charité – Universitätsmedizin Berlin, Berlin, Germany; Translational Cardiovascular Technologies, Institute of Translational Medicine, Department of Health Sciences and Technology, Swiss Federal Institute of Technology, Zurich, SwitzerlandDivision of Minimally Invasive and Robotic Cardiac Surgery, Department of Surgery, University of Chicago, Chicago, IL, USDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, GermanyMinimally invasive coronary revascularisation was originally developed in the mid 1990s as minimally invasive direct coronary artery bypass (MIDCAB) grafting is a less invasive approach compared to conventional coronary artery bypass grafting (CABG) to address targets in the left anterior descending coronary artery (LAD). Since then, MIDCAB has evolved with the adoption of a robotic platform and the possibility to perform multivessel bypass procedures. Minimally invasive coronary revascularisation surgery also allows for a combination between the benefits of CABG and percutaneous coronary interventions for non-LAD lesions – a hybrid approach. Hybrid coronary revascularisation results in fewer blood transfusions, shorter hospital stay, decreased ventilation times and patients return to work sooner when compared to conventional CABG. This article reviews the available literature, describes standard approaches and considers topics, such as limited access procedures, indications and patient selection, diagnostics and imaging, techniques, anastomotic devices, hybrid coronary revascularisation and outcome analysis.https://www.icrjournal.com/articleindex/icr.2021.05
spellingShingle Karel M Van Praet
Markus Kofler
Timo Z Nazari Shafti
Alaa Abd El Al
Antonia van Kampen
Andrea Amabile
Gianluca Torregrossa
Jörg Kempfert
Volkmar Falk
Husam H Balkhy
Stephan Jacobs
Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
Interventional Cardiology: Reviews, Research, Resources
title Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
title_full Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
title_fullStr Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
title_full_unstemmed Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
title_short Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature
title_sort minimally invasive coronary revascularisation surgery a focused review of the available literature
url https://www.icrjournal.com/articleindex/icr.2021.05
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