Minimally invasive coronary artery bypass as a safe method of surgical revascularization : the step towards hybrid procedures

2017
journal article
article
5
dc.abstract.enIntroduction: 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.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.date2020-01-07
dc.cm.id86480
dc.contributor.authorPiątek, Jacekpl
dc.contributor.authorKędziora, Anna - 175679 pl
dc.contributor.authorKonstanty-Kalandyk, Janusz - 152928 pl
dc.contributor.authorKiełbasa, Grzegorzpl
dc.contributor.authorOlszewska, Marta - 187435 pl
dc.contributor.authorWróbel, Krzysztofpl
dc.contributor.authorHyoChan Song, Bryanpl
dc.contributor.authorDarocha, Tomaszpl
dc.contributor.authorWróżek, Marcinpl
dc.contributor.authorKapelak, Bogusław - 130001 pl
dc.date.accessioned2020-01-17T09:19:18Z
dc.date.available2020-01-17T09:19:18Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number4 (50)pl
dc.description.physical320-325pl
dc.description.points15pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume13pl
dc.identifier.doi10.5114/aic.2017.71614pl
dc.identifier.eissn1897-4295pl
dc.identifier.issn1734-9338pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/141984
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enmyocardial revascularizationpl
dc.subject.encoronary artery diseasepl
dc.subject.encoronary artery bypass grafting surgerypl
dc.subject.enminimally invasive coronary artery bypasspl
dc.subject.enlong-term survivalpl
dc.subject.enhybrid revascularizationpl
dc.subtypeArticlepl
dc.titleMinimally invasive coronary artery bypass as a safe method of surgical revascularization : the step towards hybrid procedurespl
dc.title.journalPostępy w Kardiologii Interwencyjnejpl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
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.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.date
2020-01-07
dc.cm.id
86480
dc.contributor.authorpl
Piątek, Jacek
dc.contributor.authorpl
Kędziora, Anna - 175679
dc.contributor.authorpl
Konstanty-Kalandyk, Janusz - 152928
dc.contributor.authorpl
Kiełbasa, Grzegorz
dc.contributor.authorpl
Olszewska, Marta - 187435
dc.contributor.authorpl
Wróbel, Krzysztof
dc.contributor.authorpl
HyoChan Song, Bryan
dc.contributor.authorpl
Darocha, Tomasz
dc.contributor.authorpl
Wróżek, Marcin
dc.contributor.authorpl
Kapelak, Bogusław - 130001
dc.date.accessioned
2020-01-17T09:19:18Z
dc.date.available
2020-01-17T09:19:18Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
4 (50)
dc.description.physicalpl
320-325
dc.description.pointspl
15
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
13
dc.identifier.doipl
10.5114/aic.2017.71614
dc.identifier.eissnpl
1897-4295
dc.identifier.issnpl
1734-9338
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/141984
dc.languagepl
eng
dc.language.containerpl
eng
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.enpl
myocardial revascularization
dc.subject.enpl
coronary artery disease
dc.subject.enpl
coronary artery bypass grafting surgery
dc.subject.enpl
minimally invasive coronary artery bypass
dc.subject.enpl
long-term survival
dc.subject.enpl
hybrid revascularization
dc.subtypepl
Article
dc.titlepl
Minimally invasive coronary artery bypass as a safe method of surgical revascularization : the step towards hybrid procedures
dc.title.journalpl
Postępy w Kardiologii Interwencyjnej
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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