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Search Results (4)

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Keywords = endoscopic harvesting of mammary artery

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10 pages, 1466 KiB  
Review
Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest—A Historical Review and Recent Advancements
by De Qing Görtzen, Fleur Sampon, Joost Ter Woorst and Ferdi Akca
J. Cardiovasc. Dev. Dis. 2025, 12(2), 68; https://doi.org/10.3390/jcdd12020068 - 13 Feb 2025
Viewed by 956
Abstract
Background: 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 [...] Read more.
Background: 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. Methods: 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 “thoracoscopic”, “endoscopic”, “minimally invasive”, “video-assisted”, “video-assisted thoracoscopic surgery VATS”, and “internal mammary artery” or “internal thoracic artery” were used, excluding the term “robotic”. References from the extracted articles were also reviewed to identify additional studies on endoscopic IMA harvest. Results: 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%. Conclusions: 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. Full article
(This article belongs to the Special Issue New Advances in Minimally Invasive Coronary Surgery)
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6 pages, 217 KiB  
Perspective
The Current Status of Minimally Invasive Conduit Harvesting for Coronary Artery Bypass Grafting
by Devon Anderson, Bob Kiaii and Jorge Catrip
J. Cardiovasc. Dev. Dis. 2024, 11(7), 188; https://doi.org/10.3390/jcdd11070188 - 23 Jun 2024
Cited by 1 | Viewed by 1224
Abstract
The harvesting of conduits for coronary artery bypass surgery has evolved over the last decade to include endoscopic approaches to access the saphenous vein, radial artery, and internal mammary artery. These minimally invasive techniques reduce the morbidity associated with open procedures by decreasing [...] Read more.
The harvesting of conduits for coronary artery bypass surgery has evolved over the last decade to include endoscopic approaches to access the saphenous vein, radial artery, and internal mammary artery. These minimally invasive techniques reduce the morbidity associated with open procedures by decreasing pain and recovery time and increasing mobility post operatively. This review highlights the differences in morbidity, quality, and patency between the most common conduits that are harvested minimally invasively for coronary artery bypass grafting surgery. Full article
(This article belongs to the Special Issue Minimal Access Cardiac Surgery: State of the Art and Future Perspectives)
7 pages, 1862 KiB  
Communication
Short-Term Clinical Results of Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Procedure
by Eissa Alaj, Vahid Seidiramool, Veaceslav Ciobanu, Farhad Bakhtiary and Nadejda Monsefi
J. Clin. Med. 2024, 13(11), 3124; https://doi.org/10.3390/jcm13113124 - 26 May 2024
Cited by 2 | Viewed by 1603
Abstract
Objectives: Minimally invasive direct coronary artery bypass (MIDCAB) is an alternative for revascularisation of the isolated left anterior descending (LAD) artery or as a multi-vessel (MV) procedure for the diagonal branch (RD) or the left circumflex coronary artery (LCX) region. Methods: From 2021 [...] Read more.
Objectives: Minimally invasive direct coronary artery bypass (MIDCAB) is an alternative for revascularisation of the isolated left anterior descending (LAD) artery or as a multi-vessel (MV) procedure for the diagonal branch (RD) or the left circumflex coronary artery (LCX) region. Methods: From 2021 to 2022, 91 patients underwent MIDCAB or multi-vessel MIDCAB procedures in our heart center. The left internal mammary artery (LIMA) was anastomosed to the left anterior descending artery via the left minithoracotomy approach in all patients. Results: Of the patients, a total of 86.8% were male. Eighty percent of the patients had two- or three-vessel coronary artery disease. The mean age was 65.1 ± 10.1 years. The mean operation time was 2.6 ± 0.8 h. The 30-day mortality was 0. The mean required packed red blood cells (pRBC) was 0.4 ± 1.2 unit. The mean intensive care unit stay (ICU) was 1.5 ± 1.6 days. The mean follow-up time was 1.5 ± 0.5 years. One patient received percutaneous coronary intervention due to de novo stenosis of the RCA. Late mortality was 2.2%. The Kaplan–Meier survival rate was 98.8% at 1 and 2 years. Conclusions: The postoperative complication rate of our MIDCAB cohort is low, and the short-term survival is favorable. Our postoperative and short-term clinical results demonstrate that this procedure is safe and feasible. Full article
(This article belongs to the Special Issue Cardiovascular Medicine and Cardiac Surgery)
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10 pages, 2880 KiB  
Technical Note
Robotic-Assisted Minimally Invasive Direct Coronary Artery Bypass Grafting: A Surgical Technique
by Laura Giroletti, Ascanio Graniero and Alfonso Agnino
J. Clin. Med. 2024, 13(8), 2435; https://doi.org/10.3390/jcm13082435 - 22 Apr 2024
Cited by 2 | Viewed by 2366
Abstract
In recent years, there has been a growing interest in robotic-assisted coronary artery revascularization in Europe. Two different types of surgery can be performed using a robotic platform: RA-MIDCAB, in which the mammary artery is harvested endoscopically with robotic assistance and off-pump bypass [...] Read more.
In recent years, there has been a growing interest in robotic-assisted coronary artery revascularization in Europe. Two different types of surgery can be performed using a robotic platform: RA-MIDCAB, in which the mammary artery is harvested endoscopically with robotic assistance and off-pump bypass graft is achieved under direct vision through mini thoracotomy, and TE-CAB, completely robotically performed. We started the robotic cardiac surgery program for mitral valve disease in our hospital, Humanitas Gavazzeni (Bergamo, Italy), in 2019; and in 2021, we addressed our experience with RA-MIDCAB. After a learning curve period, we have developed our technique to optimize the benefits offered by the robotic platform, tailoring strategy to individual patients, based on preoperative radiological images. Full article
(This article belongs to the Special Issue Clinical Advances in Ischemic Heart Disease)
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