Scholarlink

<p>Minimally invasive surgical techniques to attain complete revascularization for multivessel coronary artery disease (minimally invasive cardiac surgery coronary artery bypass grafting, MICS-CABG) are increasingly demanded by patients and referring cardiologists. Importantly, a&#xa0;minimally invasive approach should not compromise the most important goals of CABG, specifically complete revascularization, consistent arterial revascularization and minimization of aortic manipulation. Some specialized centers achieve clinical outcomes that are comparable to conventional CABG. This article presents a&#xa0;review of several of these techniques that are successfully performed globally and have produced consistent results in our practice. Our technique is based on the principles of off-pump coronary artery bypass grafting (OPCAB) as taught by Paul Sergeant. The platform for our minimally invasive revascularization is minimally invasive direct coronary artery bypass grafting (MICAB). Depending on the severity of the coronary artery disease and several patient-specific complexity criteria, a&#xa0;variety of operative techniques are used (MIDCAB Plus and multivessel MIDCAB), which are outlined here. A&#xa0;more detailed presentation of these techniques, including step by step sequences, illustrations, intraoperative photographs and especially video demonstartions, can be found in our atlas <i>Albert</i> &amp; <i>Angleitner—Minimally invasive coronary artery bypass surgery</i>.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Multivessel-MIDCAB – Minimalinvasive Revaskularisation bei Mehrgefäßerkrankung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月14日

查看全文
  • Philipp Angleitner,
  • Alexander Albert

摘要

Minimally invasive surgical techniques to attain complete revascularization for multivessel coronary artery disease (minimally invasive cardiac surgery coronary artery bypass grafting, MICS-CABG) are increasingly demanded by patients and referring cardiologists. Importantly, a minimally invasive approach should not compromise the most important goals of CABG, specifically complete revascularization, consistent arterial revascularization and minimization of aortic manipulation. Some specialized centers achieve clinical outcomes that are comparable to conventional CABG. This article presents a review of several of these techniques that are successfully performed globally and have produced consistent results in our practice. Our technique is based on the principles of off-pump coronary artery bypass grafting (OPCAB) as taught by Paul Sergeant. The platform for our minimally invasive revascularization is minimally invasive direct coronary artery bypass grafting (MICAB). Depending on the severity of the coronary artery disease and several patient-specific complexity criteria, a variety of operative techniques are used (MIDCAB Plus and multivessel MIDCAB), which are outlined here. A more detailed presentation of these techniques, including step by step sequences, illustrations, intraoperative photographs and especially video demonstartions, can be found in our atlas Albert & Angleitner—Minimally invasive coronary artery bypass surgery.