Abstract

Clinical benefits of Minimally Invasive Coronary Artery Bypass Grafting (MICS CABG)

Author(s): Keita Kikuchi

The advantage of Coronary Artery Bypass Grafting (CABG) is that it provides a good long-term prognosis. In particular, excellent long-term outcomes can be expected with the use of multiple arterial grafts such as BITA (bilateral internal thoracic artery) and radial artery. Due to the invasiveness of a sternotomy in CABG surgery, it tends to be shunned by patients who want a short recovery period and an early return to work. Taking all of these into consideration, Minimally Invasive Coronary Artery Bypass Grafting (MICS CABG) has come to the fore in recent years. MICS CABG was introduced in 2009 and it allows graft deployment to all coronary territories. We are currently proactive in performing MICS CABG using multiple arterial grafts such as BITA, Radial Artery (RA), and Gastroepiploic Artery (GEA). Refinement of techniques in MICS CABG has enabled less invasive surgery that preserves the sternum but makes it possible to do graft configurations comparable with conventional CABG. We would like to introduce advanced MICS CABG as a new standard in surgical coronary revascularization.