Microscope-Assisted Coronary Artery Bypass Grafting: Technique and Results

Abstract The microscope-assisted coronary artery bypass grafting (CABG) is a special technique of direct myocardial revascularization by the operating microscope using special equipment and atraumatic sutures. This method allows to complete elimination of technical errors during the performance of distal anastomoses and can be used to improve the outcomes and quality of conventional technique of operations. This article focuses on a detailed description of the technique for performing a distal anastomosis using a microsurgical technique and an operating microscope. Immediate results of operations are also reported. The data obtained suggest that microscope-assisted CABG is a safe, effective and reproducible procedure.

摘要 显微镜辅助冠状动脉旁路移植术（coronary artery bypass grafting, CABG）是一种借助手术显微镜（operating microscope）、采用专用器械与无创缝合线（atraumatic sutures）实施直接心肌血运重建的特殊术式。该术式可彻底消除远端吻合操作中的技术失误，有助于改善传统手术的预后与手术质量。本文详细阐述了采用显微外科技术（microsurgical technique）与手术显微镜实施远端吻合的操作流程，并同时报告了该手术的即刻临床效果。现有研究数据表明，显微镜辅助CABG是一种安全、有效且可重复开展的手术方案。