Authors
Sidorov R.V.1, Bazilevich A.V.1, Katkov A.A.2, Borshchev G.G.3, Sorokina V.A.1, Pospelov D.Yu.1
1 Rostov State Medical University, Rostov-on-Don
2 S.P. Botkin City Clinical Hospital, Moscow
3 Pirogov National Medical and Surgical Center, Moscow
Abstract
Over the last twenty years, cardiovascular diseases come first among the causes of death in the world. In particular, the ischemic heart disease has reached the greatest growth during this period, the number of deaths from it now is about 16% of the total mortality. Surgical methods take a leading position in the treatment of coronary artery disease comparing with conservative therapy, both in short and long term perspective. Traditional coronary artery bypass through sternotomy with the use of artificial blood circulation remains a traumatic procedure with a high risk of complications, both intraoperative and in the early and late postoperative periods. Transdermal coronary interventions, being less traumatic, have a significant disadvantage in the form of a high rate of restenosis and repeated revascularization. The attempts to get rid of these disadvantages and to unite the advantages of the above techniques led to the creation of such promising direction as minimally invasive coronary surgery (MICH), which is a good alternative to sternotomy, having a similar safety and efficiency profile in comparison with the conventional coronary artery bypass with or without the use of artificial blood circulation. At present, the MICH technique can be considered both as a separate method of surgical treatment, and as the first stage of hybrid myocardial revascularization.
In this overview the definition of the MIKH is presented, the combined detailed classification of all techniques of minimally invasive coronary revascularization, their advantages and disadvantages is given.
Keywords: сoronary artery disease, coronary artery bypass, minimally invasive coronary surgery.
References
1. Shevchenko YUL, Simonenko VB, Borshchev GG. Extracardial revascularization of the myocardium in diffuse lesions of the coronary bed, as a component of complex treatment of patients with coronary heart disease. Clinical medicine. 2018; 96(11): 10-18. (In Russ).
2. Rekomendacii ESC/EACTS po revaskulyarizacii miokarda 2018/ Rossijskij kardiologicheskij zhurnal. 2019; №8: 151-226. (In Russ).
3. Zen’kov AA. Analiz kachestva zhizni pri razlichnyh metodah hirurgicheskoj revaskulyarizacii miokarda: prospektivnoe randomizirovannoe issledovanie micsrevs. Vestnik VGMU. 2018; 1. (In Russ). [URL] Accessed 06.06.2021.
4. Ancygina LN, Kordatov PN. Principy reabilitacii bol’nyh ishemicheskoj bolezn’yu serdca posle hirurgicheskoj revaskulyarizacii miokarda. Fizicheskaya i reabilitacionnaya medicina, medicinskaya reabilitaciya. 2020; 2. (In Russ). [URL] Accessed 06.06.2021.
5. Kozyrin KA. Effektivnost gibridnoy revaskularizacii miokarda s ispolzovaniem perednebokovoy minitorakotomii. [dissertation] Kemerovo; 2018. (In Russ). [URL] Accessed 06.06.2021.
6. Zen’kov AA. Effektivnost’ miniinvazivnoj revaskulyarizacii miokarda bez zatragivaniya aorty. EKZH. 2014; 3. (In Russ). [URL] Accessed 06.06.2021.
7. Rodriguez M, Ruel M. Minimally Invasive Multivessel Coronary Surgery and Hybrid Coronary Revascularization: Can We Routinely Achieve Less Invasive Coronary Surgery?. Methodist Debakey Cardiovasc J. 2016; 12(1): 14-19. doi:10.14797/mdcj-12-1-14.
8. Cao C, Indraratna P, Doyle M, et al. A systematic review on robotic coronary artery bypass graft surgery. Ann Cardiothorac Surg. 2016; 5(6): 530-543. doi:10.21037/acs.2016.11.08.
9. Zen’kov AA, Ostrovskij YUP, Vyhristenko KS, et al. Sravnitel’nyj analiz rezul’tatov miniinvazivnoj revaskulyarizacii miokarda, koronarnogo shuntirovaniya na rabotayushchem serdce i s iskusstvennym krovoobrashcheniem. Novosti hirurgii. 2014; 1. (In Russ). [URL] Accessed 06.06.2021.
10. SHulyakovskaya AS, Nizamova GR. Pervoe koronarnoe shuntirovanie cheloveku. Vestnik SMUS74. 2020; 1(28). (In Russ). [URL] Accessed 06.06.2021.
11. Bokeriya LA, Glyancev SP. Professor Vasilij Ivanovich kolesov: parad prioritetov (k 50-letiyu pervoj v mire operacii mammarno-koronarnogo anastomoza i 110-letiyu so dnya rozhdeniya ee avtora V.I. Kolesova). Annaly hirurgii. 2014; 3. (In Russ). [URL] Accessed 06.06.2021.
12. Tarasov RS, Kazancev AN, SHabaev IF, et al. Rezul’taty celesoobraznoj nepolnoj revaskulyarizacii miokarda s ispol’zovaniem miniinvazivnoj i standartnoj tekhniki koronarnogo shuntirovaniya. RKZH. 2018; 7. (In Russ). [URL] Accessed 06.06.2021.
13. SHabaev IF, Tarasov RS, Kozyrin KA. Gospital’nye rezul’taty miniinvazivnogo koronarnogo shuntirovaniya perednej niskhodyashchej arterii na rabotayushchem serdce. Kompleksnye problemy serdechno-sosudistyh zabolevanij. 2019; 2. (In Russ). [URL] Accessed 06.06.2021.
14. Hubulava GG, Kravchuk VN, Knyazev EA, et al. Pryamaya revaskulyarizaciya miokarda iz levostoronnej mini-torakotomii — sovremennoe ispolnenie operacii V. I. Kolesova. Vestnik hirurgii. 2015; 2. (In Russ). [URL] Accessed 06.06.2021.
15. Snegirev MA, Pajvin AA, Denisyuk DO, et al. Angiograficheskaya ocenka prohodimosti konduitov posle mini-invazivnogo mnogososudistogo koronarnogo shuntirovaniya. Vestnik hirurgii. 2019; 5. (In Russ). [URL] Accessed 06.06.2021.
16. Isaev MN, Ekimov SS, CHernov II, et al. Bimammarnoe koronarnoe shuntirovanie na rabotayushchem serdce cherez levostoronnyuyu mini-torakotomiyu. Klinicheskaya i eksperimental’naya hirurgiya. 2016; 4(14). (In Russ). [URL] Accessed 06.06.2021.
17. Bonatti J, Wallner S, Crailsheim I, Grabenwöger M, Winkler B. Minimally invasive and robotic coronary artery bypass grafting-a 25-year review. J Thorac Dis. 2021; 13(3): 1922-1944. doi:10.21037/jtd-20-1535.
18. Mohr FW, Falk V, Diegeler A, Autschback R. Computer-enhanced coronary artery bypass surgery. J Thorac Cardiovasc Surg. 1999 Jun; 117(6): 1212-4.
19. Falk V, Diegeler A, Walther T, Banusch J, Brucerius J, Raumans J,Autschbach R, Mohr FW. Total endoscopic computer enhanced coronary artery bypass grafting. Eur J Cardiothorac Surg. 2000; 17: 38-45.
20. Falk V, Diegeler A, Walther T, Jacobs S, Raumans J, Mohr FW. Total endoscopic off-pump coronary artery bypass grafting. Heart Surg Forum 2000; 3: 29–31.
21. Dogan S, Aybek T, Andressen E, Byhahn C, Mierdl S, Westphal K, Matheis G, Moritz A, Wimmer-Greinecker G. Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: report of forty-five cases. J Thorac Cardiovasc Surg. 2002; 123: 1125–1131.
22. Srivastava S, Gadasalli S, Agusala M, Kolluru R, Naidu J, Shroff M, Barrera R, Quismundo S, Srivastava V. Use of bilateral internal thoracic arteries in CABG through lateral thoracotomy with robotic assistance in 150 patients. Ann Thorac Surg. 2006; 81: 800–806.
23. Argenziano M, Katz M, Bonatti J, Srivastava S, Murphy D, Poirier R, et al. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg. 2006; 81: 1666-1674.
24. Modi P, Rodriguez E, Chitwood WR Jr. Robot-assisted cardiac surgery. Interact Cardiovasc Thorac Surg. 2009 Sep; 9(3): 500-5. Epub 2009 Jun 19.
