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http://hdl.handle.net/1942/34415
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DC Field | Value | Language |
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dc.contributor.author | Yilmaz, Alaaddin | - |
dc.contributor.author | ROBIC, Boris | - |
dc.contributor.author | Starinieri, Pascal | - |
dc.contributor.author | Polus, Frederic | - |
dc.contributor.author | STINKENS, Rudi | - |
dc.contributor.author | STESSEL, Bjorn | - |
dc.date.accessioned | 2021-07-06T12:32:44Z | - |
dc.date.available | 2021-07-06T12:32:44Z | - |
dc.date.issued | 2020 | - |
dc.date.submitted | 2021-06-30T12:18:18Z | - |
dc.identifier.citation | Journal of Cardiology, 75 (6) , p. 614 -620 | - |
dc.identifier.uri | http://hdl.handle.net/1942/34415 | - |
dc.description.abstract | The aim of this paper is to describe a newly developed endoscopic coronary artery bypass graft (Endo-CABG) technique to treat patients with single- and multi-vessel disease and discuss the short-term clinical results in a large patient cohort. This technique avoids a median sternotomy by combining a thoracoscopic technique via three ∼5 mm thoracic ports and a mini-thoracotomy utility 3-4 cm port through the intercostal space. | - |
dc.description.abstract | Background: The aim of this paper is to describe a newly developed endoscopic coronary artery bypass graft (Endo-CABG) technique to treat patients with single- and multi-vessel disease and discuss the short-term clinical results in a large patient cohort. This technique avoids a median sternotomy by combining a thoracoscopic technique via three similar to 5 mm thoracic ports and a mini-thoracotomy utility 3-4 cm port through the intercostal space.Methods: From January 2016 to January 2018, data from consecutive patients undergoing an elective Endo-CABG were prospectively entered into a customized database and retrospectively reviewed. Patients scheduled for a combined hybrid intervention were excluded. Conversion rate to sternotomy, incidence of surgical revision and postoperative graft failure, one-month survival, morbidity, and length of stay (LOS) were investigated. Subgroup analyses were performed.Results: A total of 342 patients undergoing an Endo-CABG with one (n = 53) or multiple (n =289) bypasses were included. No conversion to sternotomy occurred and incidence of surgical revision, graft failure, and 30-day mortality was 7.3%, 1.5%, and 1.8%, respectively. Adverse neurological outcomes were rare: cerebrovascular accident, transient ischemic attack, epilepsy, and postoperative delirium were observed in 0.6%, 0.3%, 0.3%, and 5.3% of patients, respectively. Median intensive care unit and hospital LOS were 2.75 (IQR 1.8 to 3.8) and 8.0 days (IQR 7.0 to 10.0), respectively. Thirty-day mortality in obese patients, diabetics, and octogenarians was 0%, 3.6%, and 5.6%, respectively. EuroSCORE II > 5% was associated with a high 30-day mortality (25%).Conclusions: Endo-CABG can be considered a safe and effective procedure to treat single- and multi-vessel coronary artery disease. Individual patient selection seems not necessary to apply this technique. (C) 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.subject.other | Coronary artery bypass grafting | - |
dc.subject.other | Coronary artery disease | - |
dc.subject.other | Minimally invasive surgery | - |
dc.subject.other | Video-assisted thoracic surgery | - |
dc.subject.other | Aged | - |
dc.subject.other | Coronary Artery Bypass | - |
dc.subject.other | Coronary Artery Disease | - |
dc.subject.other | Diabetes Mellitus | - |
dc.subject.other | Endoscopy | - |
dc.subject.other | Female | - |
dc.subject.other | Graft Rejection | - |
dc.subject.other | Humans | - |
dc.subject.other | Length of Stay | - |
dc.subject.other | Male | - |
dc.subject.other | Middle Aged | - |
dc.subject.other | Obesity | - |
dc.subject.other | Reoperation | - |
dc.subject.other | Sternotomy | - |
dc.title | A new viewpoint on endoscopic CABG: technique description and clinical experience | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 620 | - |
dc.identifier.issue | 6 | - |
dc.identifier.spage | 614 | - |
dc.identifier.volume | 75 | - |
local.bibliographicCitation.jcat | A1 | - |
local.publisher.place | RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.jjcc.2019.11.007 | - |
dc.identifier.pmid | 31926795 | - |
dc.identifier.isi | WOS:000527383400005 | - |
local.provider.type | PubMed | - |
local.uhasselt.uhpub | yes | - |
local.uhasselt.international | no | - |
item.fullcitation | Yilmaz, Alaaddin; ROBIC, Boris; Starinieri, Pascal; Polus, Frederic; STINKENS, Rudi & STESSEL, Bjorn (2020) A new viewpoint on endoscopic CABG: technique description and clinical experience. In: Journal of Cardiology, 75 (6) , p. 614 -620. | - |
item.fulltext | With Fulltext | - |
item.validation | ecoom 2021 | - |
item.contributor | Yilmaz, Alaaddin | - |
item.contributor | ROBIC, Boris | - |
item.contributor | Starinieri, Pascal | - |
item.contributor | Polus, Frederic | - |
item.contributor | STINKENS, Rudi | - |
item.contributor | STESSEL, Bjorn | - |
item.accessRights | Open Access | - |
crisitem.journal.issn | 0914-5087 | - |
crisitem.journal.eissn | 1876-4738 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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1-s2.0-S0914508719303867-main.pdf | Published version | 935.65 kB | Adobe PDF | View/Open |
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