Minimally invasive CABG

Citation
F. Filsoufi et al., Minimally invasive CABG, CURR OPIN C, 16(5), 2001, pp. 306-309
Citations number
13
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
CURRENT OPINION IN CARDIOLOGY
ISSN journal
0268-4705 → ACNP
Volume
16
Issue
5
Year of publication
2001
Pages
306 - 309
Database
ISI
SICI code
0268-4705(200109)16:5<306:MIC>2.0.ZU;2-I
Abstract
For more than three decades, conventional coronary artery bypass grafting ( full sternotomy, cardiopulmonary bypass, and cardioplegic arrest) has been the treatment of choice for patients with multi-vessel coronary artery dise ase. However, neurologic injury secondary to ascending aortic manipulation and systemic inflammatory reaction related to cardiopulmonary bypass are ma jor causes of morbidity. During the past decade research efforts have been focused on the development of innovative revascularization techniques to mi nimize these deleterious effects. Minimally invasive direct coronary artery bypass surgery was developed to reduce chest trauma and to accelerate pati ent recovery. The relatively recent introduction of mechanical stabilizers and positioning devices has allowed for the safe performance of off-pump co ronary artery bypass for patients with multi-vessel disease. Robotic techno logy has offered the possibility of myocardial revascularization through li mited access using endoscopic principles. Recently, emphasis has been place d on the development of new sutureless anastomotic devices that may revolut ionize the field of myocardial revascularization and allow a broader accept ance of minimally invasive CABG. Despite the increasing availability of new technologies, the validity of these procedures must be evaluated carefully . Prospective randomized studies and longitudinal follow-up will be require d. (C) 2001 Lippincott Williams & Wilkins, Inc.