MIDCAB


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Related to MIDCAB: PTCA, CABG, TMR

MIDCAB

Minimally invasive direct coronary artery bypass. Heart surgery in which coronary bypass (usually with a single graft) is performed on a blood-filled beating heart, without a heart-lung machine, via a small incision in the chest wall.

Pros
Incisions are smaller, sternum is not opened, recuperation period shorter, overall cost lower.
 
Cons
Less than half of CABG patients are candidates for MIDCAB.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

MIDCAB

Minimally invasive direct coronary artery bypass Cardiology Minimally invasive heart surgery in which coronary bypass–usually with a single graft is performed on a blood-filled beating heart without a heart-lung machine via a small incision in the chest wall. See Minimally invasive cardiac surgery, OPCAB. Cf CABG, Transmyocardial revascularization.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

MIDCAB

(mid′kab″) [Acronym for m(inimally) i(nvasive) d(irect) c(oronary) a(rtery) b(ypass)]
An alternative to coronary artery bypass graft surgery (CABG) performed via a sternotomy. In conventional CABG, the aorta is cannulated, the heart is chilled, and the patient's blood is routed through a perfusion pump that oxygenates the blood outside the body and then recirculates it to the patient. In MIDCAB by contrast, a small incision is made between the ribs (instead of dividing the sternum), and only those arteries easily accessible on the anterior of the heart, e.g., the left anterior descending artery, are bypassed. Because of the smaller incision made in this procedure, it is sometimes referred to as cardiackeyhole surgery.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
The above data demonstrate that there exists substantial differences in length of stay and hospital costs for patients undergoing PTCA versus patients undergoing CABG or MIDCAB. To determine if these differences were due to differences in patient selection or the choice of procedure, multiple regression analyses were performed.
Our cardiac surgical program is active and employs recent surgical advances, including mitral valve repair and MIDCAB. All of the cardiothoracic surgeons and interventional cardiologists were board eligible/board certified.
All patients had a left internal thoracic artery (LITA) to LAD artery bypass using the same MIDCAB techniques.
This study revealed that, epidural anesthesia had no impact on the degree of patient satisfaction after MIDCAB surgery, but yielded significantly shorter ICU and hospital stay periods, which may result in more efficient use of hospital resources.