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Minimally Invasive Myocardial Revascularization

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Ischemic Heart Disease

Abstract

Minimally invasive coronary revascularization was originally developed in the mid-1990s as MIDCAB grafting is a less invasive approach compared to conventional CABG to address targets in the LAD. Minimally invasive coronary revascularization surgery also allows for a combination between the benefits of CABG and percutaneous coronary interventions for non-LAD lesions—a hybrid approach. Hybrid coronary revascularization results in fewer blood transfusions, shorter hospital stay, and decreased ventilation times, and patients return to work sooner when compared to conventional CABG. This chapter describes standard approach in our experience and considers topics, such as indications and patient selection, diagnostics and techniques, hybrid coronary revascularization, and outcome analysis.

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Abbreviations

CABG:

Coronary artery bypass grafting

LAD:

Left anterior descending coronary artery

MIDCAB:

Minimally invasive direct coronary artery bypass

OPCABG:

Off-pump coronary artery bypass grafting

PCI:

Percutaneous coronary intervention

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Concistrè, G., Solinas, M. (2023). Minimally Invasive Myocardial Revascularization. In: Concistrè, G. (eds) Ischemic Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-25879-4_27

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  • DOI: https://doi.org/10.1007/978-3-031-25879-4_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-25878-7

  • Online ISBN: 978-3-031-25879-4

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