Advances in coronary artery bypass surgery History First

Advances in coronary artery bypass surgery

History • First bypass – 1964 – Dr. Kolesov, Leningrad. • Cleveland Clinic - 1967 Drs. Favaloro/De. Bakey/ Sabiston. • 1971 - Dr. G. Green – Routine use of LIMA.

SYNTAX-Trial • Randomized control trial • Comparing CABG to stenting • 85 Registries in USA and Europe

5 Year Results • CABG – Complex coronary artery disease. • Stent - Les complex lesions and left main disease.

SYNTAX scoring

SYNTAX scoring

SYNTAX

SYNTAX

Stenosis with thrombus

Retrograde filling via collaterals

Long segment proximal disease

Tortious vessel

Ostial right lesion

Atherosclerosis

Atherosclerosis

Heart Attack

Bypass Machine

Cell saver

TEG

TEG -Report

3 D TEE

TEE Probe

3 -D-Echo Mitral valve

3 -D Echo-Mitral valve prosthesis

Lima

Lima and veins anastomosed

Y-Graft

Saphenous vein

Percutaneous vein harvesting

Percutaneous vein harvesting

Anastomotic device

Device anastomosis

Radial artery harvesting

Radial artery anastomosis

Stabilizer

Octopus

Open coronary artery

Coronary artery shunt

Shunt in place

MIDCAB

Lower sternal split

Left anterior thoracotomy

MIDCAB

TECAB

Da Vinci

Fem-Fem cannula

Aortic endo-clamp

Robotic port positions

Robotic procedure

Robotic anastomosis

Hybrid Theatre

Hybrid Theatre