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03 March 2017 : Clinical Research  

Clinical Effect and Prognosis of Off-Pump Minimally Invasive Direct Coronary Artery Bypass

Ming Yang1E*, Lian-Bo Xiao1B, Zhi-Sheng Gao2BEF, Ji-Wu Zhou1ACD

DOI: 10.12659/MSM.902940

Med Sci Monit 2017; 23:1123-1128

Abstract

BACKGROUND: Coronary artery bypass grafting (CABG) is a common procedure to circumvent the obstruction of coronary arteries when stents are unsuitable. CABG is a very traumatic surgery that requires redirecting blood flow to an external pump. Thus, this procedure has many risks during and after surgery, and minimizing these risks would greatly benefit the patients.

MATERIAL AND METHODS: We selected 126 patients with coronary artery syndrome and who were unsuitable for stent percutaneous coronary intervention. The observation group received minimally invasive direct coronary artery bypass (MIDCAB), while the control group was treated with off-pump CABG.

RESULTS: Blood markers and echocardiography before and after treatment improved equally in both groups. Neither group exhibited obvious adverse reactions, or liver and kidney function damage. However, surgical bleeding and postoperative observation days were significantly reduced in the MIDCAB group. Death and cardiac shock at the end of follow-up were significantly lower in the MIDCAB group.

CONCLUSIONS: Overall, the clinical benefits of MIDCAB and OP-CABG were similar, but MIDCAB significantly reduced postoperative hospital stay and intraoperative blood transfusion, and improved clinical prognosis.

Keywords: Coronary Artery Bypass, Coronary Artery Bypass, Off-Pump, Surgical Procedures, Minimally Invasive

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750