Clinical Effect and Prognosis of Off-Pump Minimally Invasive Direct Coronary Artery Bypass

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Procedures
• Cardiac Bypass Techniques

Background:

• Coronary artery bypass grafting (CABG) is a common surgical intervention for coronary artery obstruction when stents are unsuitable.
• Traditional CABG is highly invasive, involving cardiopulmonary bypass, and carries significant perioperative risks.
• Minimizing risks associated with CABG surgery is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the clinical efficacy and safety of minimally invasive direct coronary artery bypass (MIDCAB) versus off-pump coronary artery bypass grafting (OP-CABG).
• To evaluate the impact of MIDCAB on surgical bleeding, postoperative recovery, and long-term clinical prognosis.

Main Methods:

• A cohort of 126 patients with coronary artery syndrome unsuitable for percutaneous coronary intervention was divided into two groups.
• The observation group underwent minimally invasive direct coronary artery bypass (MIDCAB).
• The control group was treated with off-pump coronary artery bypass (OP-CABG).

Main Results:

• Both MIDCAB and OP-CABG groups showed comparable improvements in blood markers and echocardiography.
• No significant adverse reactions or organ damage (liver, kidney) were observed in either group.
• The MIDCAB group demonstrated significantly reduced surgical bleeding, shorter postoperative hospital stays, and lower rates of death and cardiac shock post-follow-up.

Conclusions:

• Minimally invasive direct coronary artery bypass (MIDCAB) and off-pump coronary artery bypass grafting (OP-CABG) provide similar overall clinical benefits.
• MIDCAB significantly reduces postoperative hospital stay and the need for intraoperative blood transfusions.
• MIDCAB is associated with an improved clinical prognosis compared to OP-CABG.