Torre, Tiziano; Pozzoli, Alberto; Valgimigli, Marco; Leo, Laura Anna; Toto, Francesca; Muretti, Mirko; Birova, Sara; Ferrari, Enrico; Pedrazzini, Giovanni; Demertzis, Stefanos (2024). Minimally Invasive Isolated and Hybrid Surgical Revascularization for Multivessel Coronary Disease: A Single-Center Long-Term Follow-Up. Journal of personalized medicine, 14(5) MDPI 10.3390/jpm14050528
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INTRODUCTION
Some evidence suggests that surgical minimally invasive (MIDCAB) and hybrid coronary revascularization (HCR) are safe and potentially effective at short-term follow-up. Data on long-term outcomes are more limited and inconclusive.
METHODS
Between February 2013 and December 2023, a total of 1997 patients underwent surgical coronary artery revascularization at our institution, of whom, 92 (4.7%) received left anterior mini-thoracotomy access (MIDCAB), either isolated (N = 78) or in combination with percutaneous coronary intervention (N = 14, HCR group).
RESULTS
After a median follow-up of 75 months (range 3.1: 149 months), cardiac mortality was 0% while overall mortality was 3%, with one in-hospital mortality and two additional late deaths. Conversion to sternotomy happened in two patients (2.1%), and surgical re-explorations occurred in five patients (4.6%), of whom three for bleeding and two for graft failure. All patients received left internal mammary (LIMA) to left anterior descending artery (LAD) grafting (100%). In the HCR group, 10 patients (72%) showed percutaneous revascularization (PCI) after MIDCAB, showing PCI on a mean of 1.6 ± 0.6 vessels and implanting 2.1 ± 0.9 drug-eluting stents.
CONCLUSIONS
MIDCAB, in isolation or in association with hybrid coronary revascularization, is associated with encouraging short- and long-term results in selected patients discussed within a dedicated heart-team.
Item Type: |
Journal Article (Original Article) |
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UniBE Contributor: |
Demertzis, Stefanos |
ISSN: |
2075-4426 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
29 May 2024 14:28 |
Last Modified: |
30 May 2024 12:20 |
Publisher DOI: |
10.3390/jpm14050528 |
PubMed ID: |
38793110 |
Uncontrolled Keywords: |
MIDCAB beating-heart coronary surgery heart team hybrid coronary revascularization minimally invasive coronary bypass surgery multivessel coronary disease percutaneous coronary intervention |
BORIS DOI: |
10.48350/197087 |
URI: |
https://boris.unibe.ch/id/eprint/197087 |
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