Port-Access ™ Coronary Artery Bypass Grafting: Technical Strategies for Multivessel Complete Revascularization

• Published in: Journal of cardiac surgery Vol. 13; no. 4; pp. 297 - 301
• Main Author: Groh, Mark A.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01-07-1998
• Subjects: Adult; Aged; Aged, 80 and over; Anastomosis, Surgical - methods; Aorta - surgery; Cardiopulmonary Bypass - adverse effects; Cardiopulmonary Bypass - methods; Coronary Artery Bypass - adverse effects; Coronary Artery Bypass - methods; Follow-Up Studies; Hospitalization; Humans; Length of Stay; Mammary Arteries - surgery; Microsurgery - methods; Middle Aged; Minimally Invasive Surgical Procedures - adverse effects; Minimally Invasive Surgical Procedures - methods; Patient Satisfaction; Reproducibility of Results; Survival Rate; Time Factors; Treatment Outcome
• ISSN: 0886-0440; 1540-8191
• DOI: 10.1111/j.1540-8191.1998.tb01072.x

Complete coronary artery revascularization results in improved symptom‐free survival. Standard cardiac revascularization uses cardiac arrest for microvascular anastomoses. The Port‐AccessTM system allows multiple coronary anastomoses in an arrested blood‐free field. The technique of Port‐AccessTM coronary artery bypass grafting has evolved from one based on internal mammary artery inflow to one based on aortic inflow. Proximal aortic anastomoses enables the surgeon to revascularize more targets more reliably. Procedural time is shortened with the use of these new techniques and familiarity with the EndoCPBr̀ endovascular cardiopulmonary bypass system. Port‐AccessTM revascularization results in short‐term acceptable results, patient satisfaction, and decreased hospitalization. (J Card Surg 1998;13:297–301)