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Kiladze I.Z.

Petrovsky National Research Center of Surgery

Zhbanov I.V.

Petrovsky National Research Center of Surgery

Uryuzhnikov V.V.

Petrovsky National Research Center of Surgery

Martirosyan A.K.

Petrovsky National Research Center of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

Nechaenko M.A.

Petrovsky National Research Center of Surgery

Gens A.P.

Petrovsky National Research Center of Surgery

Molochkov A.V.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Center of Surgery

Long-term outcomes of minimally invasive coronary artery bypass grafting

Authors:

Kiladze I.Z., Zhbanov I.V., Uryuzhnikov V.V., Martirosyan A.K., Shabalkin B.V., Nechaenko M.A., Gens A.P., Molochkov A.V., Stepanenko A.B.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12‑2): 42‑49

DOI: 10.17116/hirurgia202412242

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Table of contents

LONG-TERM OUTCOMES OF MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING
LONG-TERM OUTCOMES OF MINIMALLY INVASIVE CORONARY ARTERY BYPASS GRAFTING

To cite this article:

Kiladze IZ, Zhbanov IV, Uryuzhnikov VV, et al. . Long-term outcomes of minimally invasive coronary artery bypass grafting. Pirogov Russian Journal of Surgery. 2024;(12‑2):42‑49. (In Russ.)
https://doi.org/10.17116/hirurgia202412242

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Abstract:

OBJECTIVE

To evaluate long-term clinical efficacy of MICS CABG compared to surgery through sternotomy.

MATERIAL AND METHODS

The study included 158 patients who underwent minimally invasive CABG through left-sided mini-thoracotomy between 2017 and 2023. The primary endpoints were in-hospital mortality and 5-year survival, secondary endpoint — freedom from adverse cardiac events. The control group enrolled 150 patients who underwent median sternotomy.

RESULTS

Mean follow-up period was 3.1±1.9 years. There were no differences in 5-year freedom from adverse cardiac events (84.7% versus 81.6%, p>0.05). Long-term survival (after 5 years) was 99% and 95%, respectively (p>0.05). In our study, the risk rate of wound complications after MICS CABG was 3 times lower compared to surgeries through sternotomy. Naturally, this reduces postoperative hospital-stay, promotes faster recovery and shortens the rehabilitation period. No significant differences in the quality of life after minimally invasive and traditional CABG indicates that MICS CABG does not reduce the effectiveness of myocardial revascularization. Thus, MICS CABG is not only characterized by low surgical risk, but also able to provide stable long-term results.

CONCLUSION

MICS CABG is a safe and effective surgery. This surgery is not inferior to standard CABG through median sternotomy regarding long-term results, quality of life and life expectancy. However, this approach has advantages in patients with high risk of postoperative sternal wound complications. It also reduces the rehabilitation period and promotes early return to everyday life.

Keywords:

minimally invasive multiple coronary artery bypass grafting
MICS CABG
left-sided minithoracotomy

Authors:

Kiladze I.Z.

Petrovsky National Research Center of Surgery

Zhbanov I.V.

Petrovsky National Research Center of Surgery

Uryuzhnikov V.V.

Petrovsky National Research Center of Surgery

Martirosyan A.K.

Petrovsky National Research Center of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

Nechaenko M.A.

Petrovsky National Research Center of Surgery

Gens A.P.

Petrovsky National Research Center of Surgery

Molochkov A.V.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Center of Surgery

Received:

25.08.2024

Accepted:

17.09.2024

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