Key result
Standard MIDCAB remains the most accessible technique, robotic takedown the most elegant, and the thoracoscopic approach the most versatile for left internal mammary artery harvest.
Why the study?
What are the options for left internal mammary artery harvest in minimal access coronary surgery?
What are the options for left internal mammary artery harvest in minimal access coronary surgery?
This review summarizes the three primary techniques for LIMA harvest during minimally invasive direct coronary artery bypass (MIDCAB).
Answers are grounded in this paper and cite their sources.
Minimal access LIMA-LAD options merit evaluation in appropriate candidates; leaves open optimal technique selection.
The left internal mammary artery (LIMA) to the left anterior descending artery bypass remains the gold standard for coronary artery bypass grafting. This review focuses on the three major options for LIMA takedown when using minimal access options to achieve this bypass, namely standard minimally invasive direct coronary artery bypass (MIDCAB), thoracoscopic MIDCAB, and robotically assisted MIDCAB.
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Itagaki et al. (2013) conducted a review in Coronary artery disease requiring minimal access coronary surgery. Left internal mammary artery (LIMA) harvest techniques (standard MIDCAB, thoracoscopic, robotic) was evaluated. Standard MIDCAB remains the most accessible technique, robotic takedown the most elegant, and the thoracoscopic approach the most versatile for left internal mammary artery harvest.
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