ENDOscopic Coronary Artery Bypass Grafting

General information on bypass surgery

Atherosclerosis of the coronary arteries is the most common heart condition. 

CABG is one of the most common treatment options for this condition. The procedure requires a median sternotomy and requires several months of recovery. It is therefore advisable to avoid the 25-to-30-cm incision if possible. Endo-CABG is one of the alternatives. Endo is short for endoscopic. 

Who is a candidate for an endo-CABG?

In principle, patients with multivessel disease are candidates for this procedure. 

Endo-CABG methodology

Endo-CABG is a minimally invasive approach to a coronary artery bypass with patients who have multivessel disease and avoids a median sternotomy using thoracoscopic techniques. Unlike endo-ACAB, the endo-CABG procedure is used to treat patients with sclerosis in multiple coronary arteries.

The left internal mammary artery and right internal mammary artery are thoracoscopically opened through 3 small 5-mm holes. A 4-to-5-cm incision is then made between the ribs without any mechanical spreading of the ribs. The bypasses to the narrowed coronary arteries are performed.

This procedure uses a heart-lung machine connected to the patient through the artery and vein in the groin.

Benefits of this procedure

Endo-CABG is an alternative treatment of coronary atherosclerosis with patients who have multivessel disease:

  • Safe and efficient
  • Minimal surgical trauma, so:
    • Less pain
    • Smaller scar
    • Less blood loss
    • Shorter hospital stay
    • Faster recovery
    • Faster return to work