A Survey on Minimally Invasive Coronary Artery Bypass Grafting

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Presentation transcript:

A Survey on Minimally Invasive Coronary Artery Bypass Grafting Hani Shennib, Michael J Mack, Allan G.L Lee The Annals of Thoracic Surgery Volume 64, Issue 1, Pages 110-115 (July 1997) DOI: 10.1016/S0003-4975(97)82826-3

Fig. 1 Survey question: “In your opinion, which is more preferable to eliminate?” Answers: (1) median sternotomy; (2) cardiopulmonary bypass. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 2 Survey question: “Which approach do you use for minimally invasive coronary artery bypass grafting?” Answers: (1) partial sternotomy; (2) vertical thoracotomy; (3) left anterior thoracotomy; (4) other. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 3 Survey question: “Do you think that inadequate left anterior descending flow due to left internal mammary artery collaterals persistence is a real problem?” Answers: (1) yes; (2) no. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 4 Survey question: “Do you consider minimally invasive coronary artery bypass grafting procedures:” Answers: (1) experimental; (2) investigational; (3) extension or modification of existing techniques. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 5 Survey question: “What do you think will be the most important driving force for the expansion of minimally invasive coronary artery bypass grafting?” Answers: (1) patient demand; (2) cardiologist demand; (3) economic benefits of procedure; (4) limited intermediate outcome of catheter intervention. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 6 Survey question: “My procedure of choice for a 50-year-old man with 95% proximal left anterior descending and 90% obtuse marginal lesions is:” Answers: (1) percutaneous transluminal coronary angioplasty + stent of both lesions; (2) conventional coronary artery bypass grafting; (3) minimally invasive coronary artery bypass grafting to left anterior descending + percutaneous transluminal coronary angioplasty of obtuse marginal. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)

Fig. 7 Survey question: “By the year 2000, most patients with three-vessel coronary artery disease will be managed by:” Answers: (1) medical therapy; (2) catheter intervention; (3) conventional coronary artery bypass grafting; (4) minimally invasive coronary artery bypass grafting; (5) combined “hybrid” catheter + minimally invasive coronary artery bypass grafting. The Annals of Thoracic Surgery 1997 64, 110-115DOI: (10.1016/S0003-4975(97)82826-3)