Key result
Minimally invasive CABG offers potential long-term benefits and faster recovery for complex LAD disease.
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Demonstrates the utility of minimally invasive bypass for anterior descending coronary artery disease, suggesting durable benefits for complex lesions and restenosis.
OBJECTIVE: The introduction of minimally invasive coronary bypass surgery has allowed the application of multiple approaches to coronary artery disease. METHODS: Technologic developments have resolved patency and myocardial ischemic issues and increased surgical experience and training have combined to make more coronary bypass surgeons facile in minimally invasive surgical techniques. RESULTS: These advances, along with the decreased invasiveness, shortened recovery and lower cost, suggest the application of these techniques to the primary treatment of disease of the anterior descending artery. CONCLUSION: In selected circumstances such as these in which patient co-morbid risk factors would suggest high recurrence rates in complex lesions or total occlusion of the anterior descending coronary artery and present in cases of in-stent restenosis, primary application of minimally invasive bypass techniques may create long-term benefits for patients.
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Emery et al. (1999) conducted a review in Left anterior descending coronary artery disease. Minimally invasive coronary bypass surgery was evaluated. Minimally invasive coronary bypass surgery may offer long-term benefits, shortened recovery, and lower cost as primary treatment for complex left anterior descending artery disease.
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