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Related Experiment Video

Updated: Jul 18, 2025

Evaluation of Coronary Flow Reserve After Myocardial Ischemia Reperfusion in Rats

Evaluation of Coronary Flow Reserve After Myocardial Ischemia Reperfusion in Rats

Published on: June 28, 2019

Minimal-Access Coronary Revascularization: Past, Present, and Future.

Rushmi Purmessur¹, Tharushi Wijesena¹, Jason Ali¹

¹Department of Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge CB2 0AY, UK.

Journal of Cardiovascular Development and Disease

|August 25, 2023

Summary

Minimal-access cardiac surgery, including MIDCAB, HCR, and TECAB, is gaining traction. Further randomized controlled trials are needed to definitively prove its superiority over traditional open-heart surgery.

Keywords:

HCR MIDCAB TECAB coronary artery minimal access revascularisation

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Author Spotlight: Enhancing Coronary Artery Revascularization

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Last Updated: Jul 18, 2025

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Author Spotlight: Enhancing Coronary Artery Revascularization

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

Area of Science:

Cardiovascular Surgery
Minimally Invasive Techniques

Background:

Minimal-access cardiac surgery is increasingly favored by cardiologists and patients.
Coronary artery revascularization via minimally invasive approaches is globally adopted.

Purpose of the Study:

To review the historical evolution of minimal-access coronary revascularization.
To outline current techniques and challenges in minimal-access coronary surgery.

Main Methods:

Historical review of minimal-access coronary revascularization.
Discussion of contemporary approaches: MIDCAB, HCR, and TECAB.
Analysis of nomenclature and methodological variations.

Main Results:

Minimal-access coronary revascularization has a long history, evolving into modern techniques like MIDCAB, HCR, and TECAB.
Significant variations in terminology and approaches complicate comparisons.
Proponents report patient advantages, but robust evidence is limited.

Conclusions:

Minimal-access coronary revascularization represents a growing field with potential patient benefits.
Demonstrating superiority over open techniques requires more rigorous evidence, particularly from randomized controlled trials.
Ongoing trials are crucial for the future validation and widespread adoption of these techniques.