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Minimally invasive coronary artery bypass as a safe method of surgical revascularization : the step towards hybrid procedures
myocardial revascularization
coronary artery disease
coronary artery bypass grafting surgery
minimally invasive coronary artery bypass
long-term survival
hybrid revascularization
Introduction: Coronary artery disease is nowadays responsible for approximately 15% of hospitalizations in Poland. Minimally invasive coronary artery bypass (MIDCAB) represents an attractive alternative to a sternotomy, and at the same time provides better life quality and facilitates quick rehabilitation. Aim: To evaluate whether MIDCAB can be performed with similar early and mid-term results as off-pump coronary artery bypass (OPCAB) and therefore can be considered as a safe stage in hybrid revascularization. Material and methods: In a retrospective cohort study, we analyzed 73 consecutive patients who underwent coronary artery bypass grafting (left internal mammary artery to left anterior descending artery) between 2013 and 2016 in the Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow. Thirty-eight (52.1%) MIDCAB and 35 (47.9%) OPCAB patients were enrolled. Results: Short-term results did not significantly differ between groups and similar 30-day mortality was observed (MIDCAB 2.6% vs. OPCAB 2.9%, p = 1). The median follow-up period was 21 months. There were no statistical differences in terms of overall survival or cardiac mortality between groups (94.7% vs. 88.6%, p = 0.42; 2.6% vs. 2.9%, p = 1, respectively). The rate of hospitalization due to cardiac causes was similar in both groups (7.9% vs. 5.1%, p = 1) and there were no differences in current exacerbation of angina or heart failure, with median NYHA class I and CCS class I in both groups. Conclusions: Despite higher technical difficulty, MIDCAB procedures can be performed with similar safety results as OPCAB procedures. No differences in terms of mortality, repeat revascularization or recurrent angina are observed.
dc.abstract.en | Introduction: Coronary artery disease is nowadays responsible for approximately 15% of hospitalizations in Poland. Minimally invasive coronary artery bypass (MIDCAB) represents an attractive alternative to a sternotomy, and at the same time provides better life quality and facilitates quick rehabilitation. Aim: To evaluate whether MIDCAB can be performed with similar early and mid-term results as off-pump coronary artery bypass (OPCAB) and therefore can be considered as a safe stage in hybrid revascularization. Material and methods: In a retrospective cohort study, we analyzed 73 consecutive patients who underwent coronary artery bypass grafting (left internal mammary artery to left anterior descending artery) between 2013 and 2016 in the Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow. Thirty-eight (52.1%) MIDCAB and 35 (47.9%) OPCAB patients were enrolled. Results: Short-term results did not significantly differ between groups and similar 30-day mortality was observed (MIDCAB 2.6% vs. OPCAB 2.9%, p = 1). The median follow-up period was 21 months. There were no statistical differences in terms of overall survival or cardiac mortality between groups (94.7% vs. 88.6%, p = 0.42; 2.6% vs. 2.9%, p = 1, respectively). The rate of hospitalization due to cardiac causes was similar in both groups (7.9% vs. 5.1%, p = 1) and there were no differences in current exacerbation of angina or heart failure, with median NYHA class I and CCS class I in both groups. Conclusions: Despite higher technical difficulty, MIDCAB procedures can be performed with similar safety results as OPCAB procedures. No differences in terms of mortality, repeat revascularization or recurrent angina are observed. | pl |
dc.affiliation | Wydział Lekarski : Instytut Kardiologii | pl |
dc.cm.date | 2020-01-07 | |
dc.cm.id | 86480 | |
dc.contributor.author | Piątek, Jacek | pl |
dc.contributor.author | Kędziora, Anna - 175679 | pl |
dc.contributor.author | Konstanty-Kalandyk, Janusz - 152928 | pl |
dc.contributor.author | Kiełbasa, Grzegorz | pl |
dc.contributor.author | Olszewska, Marta - 187435 | pl |
dc.contributor.author | Wróbel, Krzysztof | pl |
dc.contributor.author | HyoChan Song, Bryan | pl |
dc.contributor.author | Darocha, Tomasz | pl |
dc.contributor.author | Wróżek, Marcin | pl |
dc.contributor.author | Kapelak, Bogusław - 130001 | pl |
dc.date.accessioned | 2020-01-17T09:19:18Z | |
dc.date.available | 2020-01-17T09:19:18Z | |
dc.date.issued | 2017 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 4 (50) | pl |
dc.description.physical | 320-325 | pl |
dc.description.points | 15 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 13 | pl |
dc.identifier.doi | 10.5114/aic.2017.71614 | pl |
dc.identifier.eissn | 1897-4295 | pl |
dc.identifier.issn | 1734-9338 | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/141984 | |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa | * |
dc.rights.licence | CC-BY-NC-SA | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl | * |
dc.share.type | otwarte czasopismo | |
dc.subject.en | myocardial revascularization | pl |
dc.subject.en | coronary artery disease | pl |
dc.subject.en | coronary artery bypass grafting surgery | pl |
dc.subject.en | minimally invasive coronary artery bypass | pl |
dc.subject.en | long-term survival | pl |
dc.subject.en | hybrid revascularization | pl |
dc.subtype | Article | pl |
dc.title | Minimally invasive coronary artery bypass as a safe method of surgical revascularization : the step towards hybrid procedures | pl |
dc.title.journal | Postępy w Kardiologii Interwencyjnej | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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