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International Society For Minimally Invasive Cardiothoracic Surgery

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Endoscopic Atraumatic Coronary Artery Bypass Grafting Five-year Experience
Marek Frank, Arek Niedźwiecki, Krzysztof Matlak, Adrian Stankiewicz, Anna Lejko, Robert Trzciński, Szymon Kocańda, Maciej Mitrosz, Tomasz Hirnle.
Medical University Hospital of Bialystok, Bialystok, Poland.

BACKGROUND: According to The European Society of Cardiology cardiovascular disease is the "biggest killer" all over the world. Coronary artery surgery is one of the main methods for treating this disease and nowadays it can be done less invasively.
METHODS: We evaluated in-hospital results of endoscopic atraumatic left anterior descending artery revascularization (EACAB).
RESULTS: From 2014 to 2018 we operated 70 patients in this way, which was almost 7% of all 1082 coronary artery bypass graft procedures (CABG) in our department. Median Euroscore II mortality risk was 1% while in the whole CABG group was 2,2%. We noticed no postoperative death, no perioperative myocardial infarction, and no stroke. Delayed wound healing was the most reason for a prolonged hospital stay.
CONCLUSIONS: In our hands, EACAB procedure was demonstrated to be a feasible, a safe and good alternative method of revascularization for patients with coronary artery disease.


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