The comparative analysis of the immediate results of the minimally invasive myocardial revascularization
The comparative analysis of the immediate results of the minimally invasive coronary surgery (MICS) and off-pump conventional coronary artery bypass grafting (OPCABG) is represented in this article. It has been found that MICS with aortic no-touch technique is attended by the lower index of revascularization in comparison with OPCABG (2.33 and 2.79 respectively), higher rate of arterial revascularization (80.9 versus 54.5%), functionally reasonable revascularization (37.2 versus 12.2%) and lower rate (62.8 versus 87.8%) of complete myocardium revascularization (р<0.05). Immediate surgery results were found satisfactory (complete angina retrogression and absence of the major cardiovascular complications) in 98.9% of patients of the minimally invasive myocardial revascularization (MIMR) group and in 96.8% of patients of the OPCABG group and were comparable (р<0.05). Application of the MIMR leads to the reduction of the perioperative complications rate (intra- and postoperative blood loss, superficial and deep wound infection) and also decreases postoperative hospital length of stay, saving the effectiveness of the coronary procedures.