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https://www.readbyqxmd.com/read/27585193/pain-and-the-quality-of-life-following-robotic-assisted-minimally-invasive-surgery
#1
Mehmet Ezelsoy, Kerem Oral, Baris Caynak, Zehra Bayramoglu, Belhhan Akpinar
OBJECTIVE: Minimally invasive bypass grafting is a promising surgical treatment in proximal LAD stenosis procedures. The main goal of this study was to make comparisons between robotically assisted minimally invasive coronary bypass surgery and conventional surgery in isolated proximal LAD lesions in terms of pain and quality of life improvement. METHODS: The study contains patients with proximal LAD lesions who were treated with robotically assisted minimally invasive coronary artery bypass surgery and conventional bypass surgery between June 2005 and November 2012...
2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/27557486/minimally-invasive-cardiac-surgery-a-systematic-review-and-meta-analysis
#2
Gudrun Dieberg, Neil A Smart, Nicola King
BACKGROUND: Minimally invasive (MI) cardiac surgery was introduced to reduce problems associated with a full sternotomy. This meta-analysis aimed to investigate the effects of minimally invasive cardiac surgery on a range of clinical outcomes. METHODS: To identify potential studies (randomised/prospective clinical trials) systematic searches were carried out. The search strategy included the concepts of "minimally invasive" OR "MIDCAB" AND "coronary artery bypass grafting" OR "cardiac surgery"...
November 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27534214/-minimally-invasive-direct-coronary-artery-bypass-midcab
#3
Masato Yoshida
No abstract text is available yet for this article.
June 20, 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/27491539/minimally-invasive-direct-coronary-bypass-compared-with-percutaneous-coronary-intervention-for-left-anterior-descending-artery-disease-a-meta-analysis
#4
Xiao-Wen Wang, Can Qu, Chun Huang, Xiao-Yong Xiang, Zhi-Qian Lu
BACKGROUND: The clinical outcomes for left anterior descending (LAD) coronary artery lesion between minimally invasive direct coronary artery bypass (MIDCAB) and percutaneous coronary intervention (PCI) are still controversial. The objective was to compare safety and efficacy between MIDCAB and PCI for LAD. METHODS: Electronic databases and article references were systematically searched to access relevant studies. End points included mortality, myocardial infarction, target vessel revascularization (TVR), major adverse coronary events (MACE), angina recurrence, and stroke...
August 5, 2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27355150/comparison-of-isolated-primary-cabg-in-two-successive-decades-in-patients-under-40-years-of-age
#5
Przemyslaw Trzeciak, Marian Zembala, Piotr Desperak, Wojtek Karolak, Michal Zembala, Mariusz Gasior
BACKGROUND: Coronary artery bypass graft (CABG) surgery is rarely performed in very young patients. The purpose of our study is to compare the characteristics, treatments, in-hospital, and long-term outcomes of two groups of patients less than 40 years of age who had CABG in two successive decades: 1990-2000 and 2001-2011. METHODS: We identified 145 consecutive patients who underwent primary isolated CABG. Group 1 consisted of 78 patients operated between 1990-2000 and group 2 consisted of 67 patients operated between 2001-2011...
2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/27209534/short-and-long-term-follow-up-after-minimally-invasive-direct-coronary-artery-bypass-in-octogenarians
#6
Grischa Hoffmann, Christine Friedrich, Moritz Barrabas, Rainer Petzina, Assad Haneya, Bernd Panholzer, Rouven Berndt, Jochen Cremer
OBJECTIVES: Demographic changes lead to a rising incidence of octogenarians undergoing surgical revascularization of coronary artery disease. Minimally invasive direct coronary artery bypass (MIDCAB) represents a surgical treatment with reduced trauma and without the use of cardiopulmonary bypass. The aim of this study was to evaluate short- and long-term outcomes after MIDCAB in octogenarians. METHODS: Between 1998 and 2012, 1060 patients underwent MIDCAB at our department...
September 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27170745/off-pump-minimally-invasive-direct-coronary-artery-bypass-in-patients-with-cosmetic-prosthesis-for-pectus-excavatum
#7
Francesco Massi, Mario Manca, Mirko Muretti, Michele Portoghese
Pectus excavatum can be associated with coronary artery diseases that can become difficult to manage in urgent situations. We describe the use of an off-pump minimally invasive direct coronary artery bypass (MIDCAB) through the fourth intercostal space incision in a patient with pectus excavatum and acute coronary syndrome who previously underwent a cosmetic prosthesis implantation. The patient refused any surgical procedure that could compromise the integrity of his cosmetic prosthesis and a left mini-thoracotomy was a good option to avoid the removal of the prosthesis...
August 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27076941/robot-assisted-coronary-artery-bypass-grafting-improves-short-term-outcomes-compared-with-minimally-invasive-direct-coronary-artery-bypass-grafting
#8
Wenhui Gong, Junfeng Cai, Zhe Wang, Anqing Chen, Xiaofeng Ye, Haiqing Li, Qiang Zhao
BACKGROUND: Robot-assisted coronary artery bypass grafts (RACAB) utilizing the da Vinci surgical system are increasingly used and allow the surgeon to conveniently harvest internal mammary arteries (IMAs). The aim of this study was to compare the outcomes of off-pump RACAB and minimally invasive direct coronary artery bypass grafting (MIDCAB) in the short and medium term. METHODS: We performed a retrospective review of 132 patients with single- or multiple-vessel coronary artery disease who underwent minimally invasive off-pump CABG (OPCAB) between May 2009 and May 2014...
March 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26883122/minimally-invasive-direct-coronary-artery-bypass-grafting-with-an-improved-rib-spreader-and-a-new-shaped-cardiac-stabilizer-results-of-200-consecutive-cases-in-a-single-institution
#9
Yunpeng Ling, Liming Bao, Wei Yang, Yu Chen, Qing Gao
BACKGROUND: Performing minimally invasive direct coronary artery bypass (MIDCAB) grafting via small chest incisions on a beating heart is challenging. We report our experiences of MIDCAB with the utilization of both an improved rib spreader to harvest the left internal mammary artery (LIMA) and a new-shaped cardiac stabilizer to facilitate LIMA-left anterior descending (LAD) coronary anastomosis. METHODS: Between May 2012 and June 2104, a total of 200 patients who were consecutively operated on in this period were enrolled in this study...
2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/26865891/minimally-invasive-direct-coronary-artery-bypass-for-left-anterior-descending-artery-revascularization-analysis-of-300-cases
#10
Lufeng Zhang, Zhongqi Cui, Zhiming Song, Hang Yang, Yuanhao Fu, Yichen Gong, Yunpeng Ling
INTRODUCTION: Minimally invasive direct coronary artery bypass (MIDCAB) grafting is performed via small, left anterolateral thoracotomy. The left internal mammary artery was grafted to the left anterior descending (LAD) artery in 300 consecutive patients. AIM: In-hospital results were evaluated and compared with the conventional, off-pump coronary artery bypass graft procedure. MATERIAL AND METHODS: One hundred and sixty-three (54.33%) of 300 patients underwent staged hybrid coronary revascularization, 93 (31%) were treated for a single LAD lesion, and 44 (14...
January 2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/26277515/-short-term-follow-up-results-of-hybrid-coronary-revascularization-by-robotic-coronary-artery-bypass-grafting-and-stent-implantation
#11
Ming Yang, Changqing Gao, Shuai Liu, Yang Wu, Cangsong Xiao, Rong Wang
OBJECTIVE: To assess the short-term outcomes of staged hybrid coronary revascularization performed using robotic-assisted off-pump coronary bypass grafting followed by percutaneous coronary intervention (PCI) in a non-left anterior descending (LAD) coronary artery lesion. METHODS: From January, 2007 to May, 2013, 35 patients (32 male and 3 female patients, mean age 56.7 ± 9.6 years) underwent staged hybrid coronary revascularization. Ten patients had double-vessel and 25 patients had triple-vessel coronary diseases, and the lesions involved an average of 2...
August 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/26181582/propensity-score-adjusted-comparison-of-midcab-versus-full-sternotomy-left-anterior-descending-artery-revascularization
#12
COMPARATIVE STUDY
Shahzad G Raja, Umberto Benedetto, Eman Alkizwini, Sapna Gupta, Mohamed Amrani
OBJECTIVE: Minimally invasive direct coronary artery bypass (MIDCAB) has been proposed as an attractive alternative to full sternotomy (FS) revascularization in isolated left anterior descending (LAD) artery disease not suitable for percutaneous coronary intervention. However, surgeons are still reluctant to perform MIDCAB owing to concerns about early and late outcomes. We aimed to compare short- and long-term outcomes after MIDCAB versus FS revascularization. METHODS: Prospectively collected data from institutional database were reviewed...
May 2015: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/26134073/robot-assisted-cardiac-surgery
#13
REVIEW
Norihiko Ishikawa, Go Watanabe
Recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery offers patients the benefits of minimally invasive surgery, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, which has allowed surgeons to operate endoscopically rather than through a median sternotomy during cardiac surgery...
2015: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/25912220/minimally-invasive-direct-coronary-artery-bypass-surgery-with-right-gastroepiploic-artery-for-redo-patients
#14
Hirofumi Nakagawa, Akihiro Nabuchi, Hirohito Terada, Susumu Hiranuma, Takuya Miyazaki, Hiroshi Okuyama, Masahiro Endo
Coronary artery bypass grafting (CABG) has been widely performed for coronary artery disease. Therefore, cases requiring reoperative CABG are increasing. We performed a minimally invasive direct coronary artery bypass (MIDCAB) procedure on four patients, as reoperative CABG surgery for the right coronary artery (RCA), employing the right gastroepiploic artery (RGEA). The target sites were the distal RCA in two patients and the posterior descending (PD) branch in the other two. Complete revascularization was accomplished in all patients without sternotomy, cardiopulmonary bypass (CPB), or blood transfusion...
2015: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/25499302/comparison-of-sirolimus-eluting-stenting-with-minimally-invasive-bypass-surgery-for-stenosis-of-the-left-anterior-descending-coronary-artery-7-year-follow-up-of-a-randomized-trial
#15
RANDOMIZED CONTROLLED TRIAL
Stephan Blazek, Cornelius Rossbach, Michael A Borger, Georg Fuernau, Steffen Desch, Ingo Eitel, Thomas Stiermaier, Philipp Lurz, David Holzhey, Gerhard Schuler, Friedrich-Wilhelm Mohr, Holger Thiele
OBJECTIVES: The aim of this analysis was to assess the 7-year long-term safety and effectiveness of a randomized comparison of percutaneous coronary intervention (PCI) with sirolimus-eluting stents (SES) versus minimally invasive direct coronary artery bypass (MIDCAB) surgery for the treatment of isolated proximal left anterior descending lesions. BACKGROUND: Long-term follow-up data comparing PCI by SES and MIDCAB surgery for isolated proximal left anterior descending lesions are sparse...
January 2015: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/25207487/mid-term-outcomes-of-minimally-invasive-direct-coronary-artery-bypass-grafting
#16
Diana Reser, Mathias van Hemelrijck, Jovana Pavicevic, Herman Tolboom, Tomas Holubec, Volkmar Falk, Stephan Jacobs
BACKGROUND: Minimally invasive direct coronary artery bypass grafting (MIDCAB) has gained wide acceptance for the treatment of single vessel disease of the left anterior descending artery (LAD). Here, we present our single center experience of 152 consecutive patients. MATERIALS AND METHODS: All patients underwent MIDCAB through a left anterior minithoracotomy between January 1, 2009, and December 31, 2012. Preoperative, intraoperative, postoperative, and follow-up data including major adverse cardiac and cerebrovascular events (MACCE) and need for re-intervention were collected...
June 2015: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/25100715/minimally-invasive-direct-coronary-bypass-grafting-versus-percutaneous-coronary-intervention-for-single-vessel-disease-a-meta-analysis-of-2885-patients
#17
REVIEW
Antje-Christin Deppe, Oliver J Liakopoulos, Elmar W Kuhn, Ingo Slottosch, Maximilian Scherner, Yeong-Hoon Choi, Parwis B Rahmanian, Thorsten Wahlers
Percutaneous coronary intervention (PCI) and minimally invasive direct coronary artery bypass (MIDCAB) grafting are both established therapeutic options for single-vessel disease of the left anterior descending artery (LAD). The present systematic review with meta-analysis aims to determine the current strength of evidence for or against PCI and MIDCAB for revascularization of the LAD. Therefore, we performed a meta-analysis of randomized, controlled trials (RCTs) and observational trials (OTs) that reported clinical outcome after isolated LAD revascularization...
March 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/25064052/outcomes-after-different-non-sternotomy-approaches-to-left-single-vessel-revascularization-a-comparative-study-with-up-to-10-year-follow-up
#18
COMPARATIVE STUDY
Anton Sabashnikov, Nikhil P Patil, Alexander Weymann, Prashant N Mohite, Bartlomiej Zych, Diana García Sáez, Aron-Frederik Popov, Thorsten Wahlers, Thorsten Wittwer, Jens Wippermann, Mohamed Amrani, Richard Trimlett, André R Simon, John Pepper, Toufan Bahrami
OBJECTIVES: Various non-sternotomy approaches have been used for left internal mammary artery (LIMA) grafting in left single-vessel revascularization. The aim of this study was to evaluate the impact of three different non-sternotomy techniques on long-term outcomes after left single-vessel revascularization. METHODS: A total of 502 patients having single-vessel LAD disease treated from April 2003 to May 2013 by minimally invasive direct coronary artery bypass grafting (MIDCAB), endoscopically assisted coronary artery bypass grafting (EACAB) or robotically assisted direct coronary artery bypass grafting (RADCAB) were reviewed...
October 2014: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/24667582/what-is-the-optimal-revascularization-technique-for-isolated-disease-of-the-left-anterior-descending-artery-minimally-invasive-direct-coronary-artery-bypass-or-percutaneous-coronary-intervention
#19
REVIEW
Akshay J Patel, Martin T Yates, Gopal K R Soppa
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, 'What is the optimal revascularization technique for isolated disease of the left anterior descending artery (LAD) in terms of patient survival, morbidity such as myocardial infarction (MI) and need for repeat target vessel revascularization: minimally invasive direct coronary artery bypass graft (MIDCAB) or percutaneous coronary intervention (PCI)?' Altogether 504 papers were found using the reported search, of which 13 represented the best evidence to answer the clinical question...
July 2014: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/24521955/minimally-invasive-direct-coronary-artery-bypass-improves-late-survival-compared-with-drug-eluting-stents-in-isolated-proximal-left-anterior-descending-artery-disease-a-10-year-follow-up-single-center-propensity-score-analysis
#20
COMPARATIVE STUDY
Umberto Benedetto, Shahzad G Raja, Rafik F B Soliman, Alberto Albanese, Anand Jothidasan, Charles D Ilsley, Mohamed Amrani
OBJECTIVES: Minimally invasive direct coronary artery bypass (MIDCAB) has been proposed to reduce surgical morbidity and improve long-term outcomes compared with stenting in the treatment of isolated proximal left anterior descending artery. However, the survival benefit from MIDCAB still needs to be demonstrated, in particular, because percutaneous coronary intervention with drug-eluting stents (DES-PCI) continues to be considered the initial treatment strategy. We conducted a 10-year follow-up, single-center, propensity score-matched MIDCAB versus DES-PCI comparison...
October 2014: Journal of Thoracic and Cardiovascular Surgery
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