Živković Igor, Mićović Slobodan, Milačić Petar
Cardiac Surgery Clinic, Dedinje Institute for Cardiovascular Diseases, Belgrade, Serbia.
School of Medicine, University of Belgrade, Serbia.
Innovations (Phila). 2023 Mar-Apr;18(2):185-189. doi: 10.1177/15569845231165312. Epub 2023 Apr 8.
Less invasive coronary artery bypass grafting surgery is underused despite more than 25 years of interest from surgeons and growing patient demands for less pain and rapid full recovery. New approaches may offer surgeons additional options to provide enhanced clinical results through reliable subxiphoid bilateral internal thoracic artery harvesting and the creation of durable anastomoses through very small thoracotomy incisions. This first-in-human case report describes 2 patients who received surgical coronary revascularization using the µCAB technology and techniques. The encouraging early results indicate that the µCAB approach may offer a new ergonomic, affordable method for coronary revascularization with less surgical trauma.
尽管外科医生对此关注已超过25年，且患者对减少疼痛和快速完全康复的需求不断增加，但微创冠状动脉搭桥手术仍未得到充分利用。新方法可能为外科医生提供更多选择，通过可靠的剑突下双侧胸廓内动脉采集以及通过非常小的开胸切口创建持久的吻合口来提供更好的临床效果。这份首例人体病例报告描述了2例接受使用µCAB技术进行外科冠状动脉血运重建的患者。令人鼓舞的早期结果表明，µCAB方法可能为冠状动脉血运重建提供一种新的符合人体工程学、经济实惠且手术创伤较小的方法。
