MIDCAB vs OPCAB for severe coronary artery disease: a comparative study
| العنوان: | MIDCAB vs OPCAB for severe coronary artery disease: a comparative study |
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| المؤلفون: | R von Wattenwyl, Richard Kobza, J Tartanus, X. Mueller, F. Cuculi, Peter Matt, Thomas Syburra |
| المصدر: | European Heart Journal. 41 |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Blood transfusion, business.industry, medicine.medical_treatment, medicine.disease, Intensive care unit, Preoperative care, law.invention, Coronary artery disease, Coronary artery bypass surgery, law, Internal medicine, medicine, Cardiology, Minimally invasive direct coronary artery bypass surgery, Fresh frozen plasma, Cardiology and Cardiovascular Medicine, business, Off-pump coronary artery bypass |
| الوصف: | Background/Introduction MIDCAB (minimally invasive direct coronary artery bypass surgery) ± PCI/DES was compared to classical “off pump” coronary artery bypass surgery (OPCAB) for the treatment of severe coronary artery disease. Purpose We hypothesized that MIDCAB is associated with reduced perioperative morbidity and mortality. Methods Preoperative and postoperative clinical data were collected prospectively in 329 consecutive patients with severe coronary artery disease undergoing either a MIDCAB procedure ± PCI/DES (MIDCAB group), n=118 patients, or classical OPCAB (OPCAB group), n=211 patients, at our institution from January 2017 to July 2019. A matched analysis using the EuroSCORE II (81 patients per group) was done. Results The median of EuroSCORE II was 1.05 in both groups, p=1. All MIDCAB patients underwent a left-sided mini-thoracotomy and received a single LIMA-LAD graft, OPCAB patients received median 3 distal anastomoses, p Conclusions MIDCAB is a good and safe option to treat severe coronary artery disease. MIDCAB is not only less invasive, but associated with reduced perioperative risk compared to standard OPCAB surgery even if a hybrid procedure is needed. Funding Acknowledgement Type of funding source: None |
| تدمد: | 1522-9645 0195-668X |
| DOI: | 10.1093/ehjci/ehaa946.2677 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::0e29a743fa5924fa9bf3be05258ca93d https://doi.org/10.1093/ehjci/ehaa946.2677 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........0e29a743fa5924fa9bf3be05258ca93d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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| DOI: | 10.1093/ehjci/ehaa946.2677 |