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New Advances in Minimally Invasive Coronary Surgery
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New Advances in Minimally Invasive Coronary Surgery

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Cardiac Surgery".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 971

Special Issue Editor

Dr. Ferdi Akca

E-Mail Website
Guest Editor
Department of Cardiothoracic Surgery, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands
Interests: minimally invasive coronary surgery; off-pump coronary surgery; total arterial revascularization; endoscopic mammary artery harvest

Special Issue Information

Dear Colleagues,

In the current era, the treatment of patients with coronary artery disease has undergone significant advancements. Minimally invasive coronary surgery has revolutionized the field of coronary bypass grafting and gains a more prominent role in everyday practice. Despite being introduced in the 1990s, recent technological developments have led to an increased adaptation of minimally invasive coronary surgery, making these procedures more accessible and reproducible.

For the Special Issue “New Advances in Minimally Invasive Coronary Surgery”, we invite you to contribute a research paper or review article addressing any aspect of this topic, including all minimally invasive approaches. The aim of this Special Issue is to provide an overview of existing techniques and future directions of coronary surgery.

Dr. Ferdi Akca
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Cardiovascular Development and Disease is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive coronary surgery
  • MICS-CABG
  • endoscopic mammary artery harvest
  • MIDCAB
  • robotic-assisted coronary surgery

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (1 paper)

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Research

11 pages, 1147 KiB  
Article
Direct Axillary Artery Cannulation as Standard Perfusion Strategy in Minimally Invasive Coronary Artery Bypass Grafting
by Christian Sellin, Ahmed Belmenai, Volodymyr Demianenko, Marius Grossmann and Hilmar Dörge
J. Cardiovasc. Dev. Dis. 2025, 12(1), 31; https://doi.org/10.3390/jcdd12010031 - 18 Jan 2025
Viewed by 722
Abstract
Objective: Cardiopulmonary bypass (CPB) via the right axillary artery (RAA) has become an alternative perfusion strategy, especially in complex aortic procedures. This study delineates our technique and outcome with direct axillary cannulation utilizing the Seldinger technique, which we adopted as the standard perfusion [...] Read more.
Objective: Cardiopulmonary bypass (CPB) via the right axillary artery (RAA) has become an alternative perfusion strategy, especially in complex aortic procedures. This study delineates our technique and outcome with direct axillary cannulation utilizing the Seldinger technique, which we adopted as the standard perfusion strategy in the sternum-sparing minimally invasive total coronary revascularization via left anterior thoracotomy (TCRAT) using CPB. Methods: From November 2019 to December 2023, a total of 413 consecutive patients underwent nonemergent isolated coronary artery bypass grafting (CABG) via left anterior minithoracotomy on CPB with peripheral cannulation via the RAA and cardioplegic cardiac arrest, using this technique as a default strategy in the daily routine. All patients had multivessel coronary artery disease. The primary outcome was intraoperative cannulation-related complications (bleeding, revision, ischemia, wound healing complications). The secondary outcome was cannulation-related events during follow-up (blood pressure differences, incidence of brachial plexus injury, clinical signs of circulatory problems of arm and hand, re-interventions). Mean midterm follow-up was 18.7 ± 12.3 [1.1–51.2] months. During follow-up, 16 patients died. Overall, a total of 397 patients (344 male; 67.6 ± 9.7 [32–88]) were included for follow-up (100%). Results: The RAA was successfully cannulated in 100% of patients. A cannula size of 16 Fr was used in 34.6%, 18 Fr in 63.9% and 20 Fr in 1.5% of all patients. There was no intraoperative bleeding complication. In two patients, intraoperative revision of the RAA was required, necessitating a venous patch repair. At follow-up, there were no differences between the systolic and diastolic blood pressure or the pressure gradients between the right and left arm. Transient numbness of the right hand was observed in two patients. Permanent numbness was not observed. No patient needed further intervention or surgical revision of the RAA. Conclusions: The right axillary cannulation is feasible and safe in terms of vascular injury and brachial plexus injury with excellent in-hospital and follow-up outcome. Full article
(This article belongs to the Special Issue New Advances in Minimally Invasive Coronary Surgery)
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