Perioperative outcomes of minimally invasive coronary artery bypass grafting over conventional sternotomy: A propensity-matched analysis
Keywords:
cardiac surgical procedures, minimally invasive surgical procedures, coronary artery disease, myocardial revascularization, propensity scoreAbstract
Background: A minimally invasive coronary artery bypass grafting (MICS CABG) procedure has been devised as a less invasive alternative to conventional open sternotomy (OPEN CABG) through a left anterior thoracotomy. The objective of this investigation was to employ propensity score matching to compare the procedural characteristics, ventilation duration, drainage volumes, and postoperative complications of MICS CABG and OPEN CABG. Methods: This retrospective propensity-matched study was performed on 350 cases who were subjected to surgical revascularization from January 2017 to June 2021. Propensity score matching (1:1 nearest-neighbor) was conducted to control for baseline differences. Results: 175 patients were included in each cohort following propensity matching. MICS CABG was related to a shortened median procedure time (p = 0.03) and a decreased mechanical ventilation duration (5p < 0.001). MICS CABG resulted in a shorter total hospitalisation (p = 0.04). Transfusion requirements for red blood cells were decreased (p = 0.04), and postoperative drainage was substantially reduced at 12 hours (p < 0.01). MICS CABG was related to a lower incidence of acute kidney injury (p = 0.03). Conclusions: MICS CABG should be considered as a preferred approach for coronary revascularization in cases with appropriate anatomy and disease complexity.
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