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Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...

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Simulation-Based Training for Coronary Artery Bypass Grafting: Systematic Review and Meta-analysis.

Abubakar I Sidik1, Kow Entsua-Mensah2, Vladislav V Dontsov3

  • 1Department of Cardiovascular Surgery, Peoples Friendship University of Russia (RUDN University), Moscow, Russia.

Journal of Surgical Education
|June 3, 2026
PubMed
Summary

Simulation-based training (SBT) significantly enhances technical skills and efficiency for coronary artery bypass grafting (CABG) anastomosis. This approach accelerates learning for surgical trainees across various simulator types.

Keywords:
anastomosis trainingcardiothoracic surgerycoronary artery bypass graftingsimulation-based trainingsurgical educationtechnical skills

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Published on: November 24, 2014

Area of Science:

  • Cardiothoracic Surgery
  • Medical Education
  • Surgical Simulation

Background:

  • Traditional coronary artery bypass grafting (CABG) training faces challenges due to reduced operative exposure and increased procedural complexity.
  • Simulation-based training (SBT) offers a viable strategy to supplement technical skill development outside the operating room.
  • This study systematically reviews and meta-analyzes the efficacy of SBT for CABG anastomosis.

Purpose of the Study:

  • To evaluate the effectiveness of simulation-based training (SBT) in improving technical performance for coronary artery bypass grafting (CABG) anastomosis.
  • To assess the impact of SBT on the procedural efficiency of CABG anastomosis.
  • To synthesize evidence from existing studies on SBT for CABG training.

Main Methods:

  • A systematic literature search was conducted across PubMed, Scopus, and Web of Science for studies published between 2000 and 2025.
  • Included studies reported quantitative outcomes of SBT for CABG and encompassed randomized controlled trials, quasi-experimental designs, and pre-post studies.
  • Eleven studies involving 372 participants met the inclusion criteria for meta-analysis.

Main Results:

  • Pooled analysis revealed a significant improvement in overall technical performance (SMD 2.18, p < 0.00001) and a substantial reduction in anastomosis completion time (SMD 2.00, p = 0.0003).
  • Benefits were observed across diverse simulator types (tissue-based, hybrid, synthetic) and fidelity levels, with no significant differences noted between trainee levels.
  • The majority of included studies exhibited a low to moderate risk of bias.

Conclusions:

  • Simulation-based training (SBT) effectively accelerates technical skill acquisition and enhances procedural efficiency in CABG anastomosis for trainees at all levels and with various simulators.
  • Findings support the integration of structured simulation into cardiothoracic surgery training curricula.
  • Future research should focus on long-term skill retention, transferability to clinical practice, and cost-effectiveness.