Medizinische Universität Graz - Research portal
Selected Publication:
Kettering, K; Dapunt, O; Eichstaedt, HC; Jochims, M; Baer, FM; .
Initial experiences with minimally invasive direct coronary artery bypass grafting (MIDCAB).
HERZ KREISLAUF. 2000; 32(9): 285-291.
Web of Science
- Co-authors Med Uni Graz
- Dapunt Otto Eugen
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- Abstract:
- Recently minimally invasive coronary artery bypass grafting (MIDCAB) has become an interesting alternative to conventional coronary artery bypass grafting (CABG), especially in patients with a single vessel disease of the LAD who are not suitable for balloon angioplasty (PTCA). Although MIDCAB provides several advantages such as avoidance of sternotomy and cardiopulmonary bypass, concerns have been raised about the technical accuracy of the anastomoses that can be performed on a beating heat. Therefore we review a number of recently published studies concerning the results of minimally invasive procedures. Operative mortality ranged from 0% to 4.3% and infarct rates ranged from 0% to 4.3%. Perioperative complications such as wound infections reoperation for management of bleeding perioperative stroke and atrial fibrillation occurred in 3.9 - 30.9%. The conversion rate to sternotomy/cardiopulmonary bypass ranged between 0% and 7.0%. Control angiographies were analysed and results are given in table I. The preliminary results are encouraging, but further randomized prospective clinical trials comparing this new technique with standard procedures for the revascularization of symptomatic patients with coronary artery disease are needed.
- Find related publications in this database (Keywords)
- coronary artery bypass
- coronary disease
- angina pectoris
- angioplasty
- transluminal
- percutaneous coronary
- surgery
- minimally invasive