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Port-access coronary artery bypass grafting: technique and comparative results
- Source :
- The Annals of Thoracic Surgery. 68:1506-1508
- Publication Year :
- 1999
- Publisher :
- Elsevier BV, 1999.
-
Abstract
- Interest in minimally invasive coronary artery bypass grafting (CABG) continues to grow, and the techniques evolve. Our study examines the technical strategies of port-access (PA) CABG and compares results between PA CABG and conventional CABG.Two hundred and twenty-nine consecutive patients underwent PA CABG from December 1996 through July 1998. Postoperative complications were compared with a matched cohort of conventional access patients. Operative technique and times were reviewed in the PA group.The average Society of Thoracic Surgeons (STS) risk assessment was 1.3 in both groups. Observed mortality was 0.9%. Complications of stroke, perioperative myocardial infarction, and atrial fibrillation were not significantly different between the two groups. Reoperation for bleeding was more likely in the PA group, while infections were more likely in the sternotomy group (p0.05). Transfusion requirements and postoperative length of stay were lower in the PA group (p0.05).Early results were similar between these two low-risk cohort groups. These findings support continued careful use of port-access revascularization in low-risk patients. Close follow-up of outcomes is essential to define the appropriateness of port-access techniques in patients requiring surgical revascularization.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
Coronary Disease
Revascularization
Risk Assessment
law.invention
Cohort Studies
Postoperative Complications
law
Internal medicine
medicine
Cardiopulmonary bypass
Humans
Minimally Invasive Surgical Procedures
Myocardial infarction
Coronary Artery Bypass
Stroke
Aged
business.industry
Atrial fibrillation
Perioperative
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Cohort
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Cohort study
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....182d75848bed4240179a9edeb6b6d6a5