Document Detail

Minimally invasive coronary artery bypass grafting: on the beating heart and via limited access.
MedLine Citation:
PMID:  9203587     Owner:  NLM     Status:  MEDLINE    
Minimally invasive coronary artery bypass grafting (MICABG) may be achieved by arterial grafting on the beating heart, without cardiopulmonary bypass, and by operations via limited access. The Second Utrecht MICABG Workshop held October 4-5, 1996, focused on beating-heart coronary immobilization, limited-access thoracoscopic and direct-vision mobilization of the internal mammary artery, limited-access left anterior descending coronary artery grafting, and, finally, facilitated distal anastomosis techniques. It has yielded 33 reports in this supplement. The combined, cumulative experience of a number of participants exceeded 3,000 beating-heart cases, including more than 1,000 with arterial grafting through limited access. The average number of anastomoses per patient ranged from 1.0 to 2.0. Therapeutic strategies are evolving, and dedicated instrumentation is being developed. Randomized clinical trials with angiographic follow-up are required to establish that the reduction in invasiveness of coronary bypass grafting is not achieved at the expense of suboptimal quality of the arterial graft and the distal anastomosis.
C Borst; W P Santamore; N G Smedira; J J Bredée
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  63     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-17     Completed Date:  1997-07-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S1-5     Citation Subset:  AIM; IM    
Department of Cardiology, Heart Lung Institute, Utrecht University Hospital, the Netherlands.
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MeSH Terms
Cardiopulmonary Bypass
Coronary Artery Bypass / methods*
Surgical Procedures, Minimally Invasive
Thoracotomy / methods

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