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Updated: Jan 16, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Teaching minimally invasive coronary artery bypass grafting: a structured framework for well tolerated adoption and
Ziyab K Sarfaraz1, Qasim Al Abri2, Mahesh Ramchandani1
1Houston Methodist Debakey Heart and Vascular Center, Houston, Texas, USA.
Purpose Of Review:
Minimally invasive coronary artery bypass grafting (MICS CABG) offers the benefits of surgical revascularization without sternotomy but remains underutilized due to technical demands and a lack of structured training. This review outlines a stepwise framework for safe adoption.
Recent Findings:
Studies and real-world experience confirm that off-pump CAB (OPCAB) proficiency, systematic technical progression, and mentorship in high-volume centers are essential for safe learning. Recent training innovations and simulator-based techniques improve outcomes and reduce complications during the learning curve.
Summary:
Wider adoption of MICS CABG hinges on structured training rooted in OPCAB, technical sequencing, and surgical mentorship. Programs emphasizing patient safety, proper case selection, and skill development can expand access to minimally invasive coronary surgery.
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