Off-pump, minimally invasive and robotic coronary revascularization yield improved outcomes over traditional on-pump CABG
✍ Scribed by Pavan Atluri; Elliott D. Kozin; William Hiesinger; Y. Joseph Woo
- Book ID
- 104583244
- Publisher
- Wiley (Robotic Publications)
- Year
- 2009
- Tongue
- English
- Weight
- 421 KB
- Volume
- 5
- Category
- Article
- ISSN
- 1478-5951
- DOI
- 10.1002/rcs.230
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✦ Synopsis
Abstract
Coronary artery disease is a global health concern, with increasing morbidity and mortality. Surgical coronary artery bypass grafting has been performed on cardiopulmonary bypass for nearly four decades, with excellent long‐term durability. Beating‐heart coronary surgery has been increasing in frequency in an attempt to decrease cardiopulmonary bypass‐related morbidity. Furthermore, with increasing expertise and technology, minimally invasive and robotic techniques have been developed to enhance post‐operative recovery, patient satisfaction and cosmesis. Several clinical trials have demonstrated decreased morbidity and more rapid recovery following off‐pump, minimally invasive and robotic procedures when compared to on‐pump coronary artery bypass grafts (CABGs). An equivalent extent of revascularization and medium‐term anastomotic patency has been demonstrated among all approaches. Furthermore, for a large number of patients who do not have anatomy amenable to traditional coronary revascularization, adjunctive molecular therapies may provide alternative myocardial micro‐revascularization. Copyright © 2008 John Wiley & Sons, Ltd.