A new viewpoint on endoscopic CABG: technique description and clinical experience

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Procedures
• Interventional Cardiology

Background:

• Coronary artery disease (CAD) remains a leading cause of mortality worldwide.
• Traditional coronary artery bypass grafting (CABG) often requires median sternotomy, a procedure associated with significant morbidity.
• There is a need for less invasive surgical options for CAD treatment.

Purpose of the Study:

• To describe a novel endoscopic coronary artery bypass graft (Endo-CABG) technique.
• To evaluate the short-term clinical outcomes of Endo-CABG in a large patient cohort.
• To assess the safety and efficacy of Endo-CABG for treating single- and multi-vessel CAD.

Main Methods:

• Prospective data collection from January 2016 to January 2018 for patients undergoing elective Endo-CABG.
• Retrospective review of a customized database, excluding patients for hybrid interventions.
• Analysis of key outcomes including conversion rate, surgical revision, graft failure, survival, morbidity, and length of stay.

Main Results:

• 342 patients underwent Endo-CABG with no conversions to sternotomy.
• Low rates of surgical revision (7.3%), graft failure (1.5%), and 30-day mortality (1.8%) were observed.
• Neurological adverse events were infrequent; median ICU and hospital LOS were 2.75 and 8.0 days, respectively.

Conclusions:

• Endoscopic coronary artery bypass graft (Endo-CABG) is a safe and effective procedure for treating coronary artery disease.
• The technique demonstrates favorable short-term clinical results in a large patient cohort.
• The study suggests that individualized patient selection may not be necessary for this approach.