TY  - CHAP
M1  - Book, Section
TI  - Chapter 25. Minimally Invasive Myocardial Revascularization
A1  - Holzhey, David M.
A1  - Rastan, Ardawan J.
A1  - Mohr, Friedrich W.
A2  - Cohn, Lawrence H.
PY  - 2012
T2  - Cardiac Surgery in the Adult, 4e
AB  - The  term  minimally  invasive  coronary  artery  bypass  grafting  is  not  well  defined.  According  to  one  definition,  avoidance  of  cardiopulmonary  bypass  (CPB)  is  considered  essential  in  decreasing  the  morbidity  associated  with  conventional  coronary  artery  bypass  grafting  (CABG).1  Other  authors  consider  the  median  sternotomy  as  a  potential  source  for  morbidity,  referring  to  the  risk  of  mediastinitis  and  the  associated  delayed  return  to  daily  life  activities.2  Accordingly,  a  number  of  surgical  strategies  have  evolved  to  avoid  the  need  for  extracorporeal  circulation  and  to  minimize  surgical  access.  Furthermore,  operative  strategies  as  avoidance  of  aortic  manipulation  or  complete  arterial  revascularization  focus  on  improved  short-  and  long-term  results.  At  the  same  time,  it  was  widely  recognized  that  open  harvesting  techniques  for  bypass  grafts  often  are  associated  with  wound-healing  problems,  especially  in  diabetic  patients.  As  a  consequence,  endoscopic  harvesting  techniques  for  both  venous  and  radial  artery  grafts  have  been  developed.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=55918207
ER  -