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Related Experiment Video

Updated: May 13, 2026

Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits

Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits

Published on: September 27, 2019

The MIDCAB approach in its various dimensions.

J Cremer¹, J Schoettler, A Thiem

¹Department of Cardiovascular Surgery, Christian-Albrechts-University of Kiel, Kiel, Germany.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia

|February 27, 2013

Summary

Minimally invasive direct coronary artery bypass grafting (MIDCAB) provides a less invasive option for coronary artery revascularization. This technique shows low complication rates and high graft patency, making it suitable for complex cases.

Keywords:

MIDCAB arterial revascularization coronary artery disease hybrid procedure minimally invasive cardiac surgery

Related Experiment Videos

Last Updated: May 13, 2026

Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits

Applying an eMASS Customization Program as a Research Tool to Evaluate Consumer Benefits

Published on: September 27, 2019

Area of Science:

Cardiovascular Surgery
Minimally Invasive Procedures
Interventional Cardiology

Background:

Minimally invasive direct coronary artery bypass grafting (MIDCAB) is an alternative to conventional bypass surgery, avoiding sternotomy and cardiopulmonary bypass.
It is particularly beneficial for left anterior descending artery lesions unsuitable for percutaneous coronary interventions.

Purpose of the Study:

To evaluate the efficacy and outcomes of minimally invasive direct coronary artery bypass grafting (MIDCAB).
To assess the role of MIDCAB in current cardiovascular surgical practice.

Main Methods:

A comprehensive literature search was conducted for studies published between January 1995 and November 2011.
The authors' institutional experience with over one thousand MIDCAB procedures over 14 years was also reviewed.

Main Results:

Early mortality for MIDCAB ranged from 1.2% to 1.3%, with midterm mortality up to 3.2%.
Graft occlusion or significant stenosis was observed in 3.6% and 7.2% of cases, respectively, at 6-month follow-up.
Conversion to sternotomy or cardiopulmonary bypass occurred in 1.2% to 6.2% of patients.

Conclusions:

MIDCAB, especially when combined with percutaneous interventions, offers a viable strategy for complete revascularization in multi-vessel disease, particularly in elderly patients with comorbidities.
The procedure is associated with minimal perioperative complications and demonstrates favorable mid-term and long-term graft patency rates.