Why the study?
Minimally invasive cardiac surgery is becoming more widespread, motivating an evaluation of outcomes in patients with isolated multivessel coronary artery disease undergoing minimally invasive coronary revascularization.
Does multiarterial minimally invasive coronary revascularization compare favorably to uniarterial revascularization in terms of perioperative outcomes in patients with isolated multivessel coronary artery disease?
Population
343 consecutive patients with isolated multivessel coronary artery disease
Comparison
Multiarterial revascularization vs uniarterial revascularization
Design
Observational cohort study
Key result
Minimally invasive coronary artery bypass grafting via left anterior thoracotomy avoided median sternotomy in 97.7% of patients, with both multiarterial and uniarterial strategies demonstrating safety and a total perioperative mortality of 0.58%.
Authors
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TCRAT achieved revascularization in consecutive multivessel cases; leaves open comparative efficacy versus sternotomy in randomized trials.
Cohort (n=343)
No
Does multiarterial minimally invasive coronary revascularization compare favorably to uniarterial revascularization in terms of perioperative outcomes in patients with isolated multivessel coronary artery disease?
Absolute Event Rate: 0% vs 0.8%
p-value: p=0.4145
Minimally invasive coronary artery bypass grafting via left anterior thoracotomy is a safe and effective approach for multivessel revascularization, with low perioperative mortality and morbidity for both uniarterial and multiarterial strategies.
Babliak et al. (2020) conducted a cohort in Isolated multivessel coronary artery disease (n=343). Multiarterial minimally invasive coronary revascularization vs. Uniarterial minimally invasive coronary revascularization was evaluated on Perioperative mortality (p=0.4145). Minimally invasive coronary artery bypass grafting via left anterior thoracotomy avoided median sternotomy in 97.7% of patients, with both multiarterial and uniarterial strategies demonstrating safety and a total perioperative mortality of 0.58%.