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December 11, 2022Journal of Visualized SurgeryOpen Access

Total coronary revascularization via left anterior thoracotomy in patients with multivessel CAD demonstrated a 0.57% mortality rate and 0.38% rate of conversion to sternotomy.

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Why the study?

The authors aimed to describe the technique of minimally invasive on-pump multivessel coronary revascularization through left anterior thoracotomy and evaluate intraoperative and early postoperative results.

Population

521 consecutive patients with isolated multivessel CAD

Comparison

Total coronary revascularization via left anterior thoracotomy (TCRAT)

Design

Single-center retrospective cohort study

Key result

Total coronary revascularization via left anterior thoracotomy in patients with multivessel CAD demonstrated a 0.57% mortality rate and 0.38% rate of conversion to sternotomy.

Authors

OBOleksandr BabliakVDVolodymyr DemianenkoAMAnton Marchenko

Discussion

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Member takes

Overview

Supports TCRAT evaluation in selected patients; hypothesis-generating and should not yet change multivessel CABG practice.

Study Design

Type

Cohort (n=521)

Multicenter

No

Structured PICO

P
Population
521 consecutive patients with isolated multivessel coronary artery disease undergoing minimally invasive on-pump multivessel coronary revascularization.
E
Exposure
Total coronary revascularization via left anterior thoracotomy (TCRAT) using minimally invasive on-pump multivessel coronary revascularization
O
Outcome
Intraoperative and early postoperative results (including mortality, conversion to sternotomy, myocardial infarction, stroke, bleeding, operation times, and hospital stay)safety

Total coronary revascularization via left anterior thoracotomy (TCRAT) is a feasible and safe minimally invasive alternative to sternotomy for multivessel CABG, demonstrating low rates of early postoperative complications.

Cite This Study

Babliak et al. (2022) conducted a cohort in isolated multivessel coronary artery disease (CAD) (n=521). Total coronary revascularization via left anterior thoracotomy (TCRAT) was evaluated on Mortality rate. Total coronary revascularization via left anterior thoracotomy in patients with multivessel CAD demonstrated a 0.57% mortality rate and 0.38% rate of conversion to sternotomy.

synapsesocial.com/papers/6a98c8753c2ace4a277486d7https://doi.org/10.21037/jovs-22-2
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