You just clicked a link to go to another website. If you continue, you may go to a site run by someone else.
It is possible that some of the products on the other site are not approved in your region or country.
Your browser is out of date
With an updated browser, you will have a better Medtronic website experience. Update my browser now.
The content of this website is exclusively reserved for Healthcare Professionals in countries with applicable health authority product registrations, except those practicing in France as some of the content is not in compliance with the French Advertising law N°2011-2012 dated 29th December 2011, article 34.
Click “OK” to confirm you are a Healthcare Professional.
Supporting your choice of surgical therapies for your patients with coronary artery disease (CAD).
For your cardiac surgery patients who ask about faster recovery times, consider recommending a minimally invasive coronary artery bypass graft (MICS CABG) approach. MICS CABG is a beating heart procedure in which the anastomoses are performed under direct vision through an anterolateral mini-thoracotomy. The internal mammary artery (IMA) harvest can also be performed under direct vision, thoracoscopically or robotically. To achieve complete revascularisation, a pump-assisted beating heart approach or hybrid coronary revascularisation may be performed. Like OPCAB, MICS CABG requires special training and instrumentation to help you achieve enhanced visualisation.
Patients who undergo MICS CABG have similar outcomes to the conventional beating heart procedure, but with the added benefit of eliminating the median sternotomy and associated morbidities.1,2 Additional benefits include:
MICS CABG is effective for many cardiac patients, but not all. Consider the following criteria when deciding if your patients are eligible for the procedure.
More than 20 years ago, when we introduced the Octopus™ tissue stabilisers for OPCAB, it changed the way cardiac surgeons could perform beating heart surgeries. For the first time, epicardial tissue could be stabilised using vacuum-assisted technology, making direct visualisation possible and completing anastomoses easier on a beating heart. Today, tissue stabilisers are seen as standard for beating heart therapies.
We continue to offer the innovative technologies that help you perform MICS CABG procedures. These include the Medtronic Octopus Nuvo™ tissue stabiliser, Starfish™ NS heart positioner, and ThoraTrak™ MICS retractor system. These devices are shown below as positioned in the body during a MICS CABG procedure.
The Medtronic Octopus Nuvo Tissue Stabiliser
Tissue stabilisers are a standard part of MICS CABG or HCR procedures.
Minimally invasive cardiac surgery (MICS) procedures like MICS CABG are becoming more mainstream today. As the patient population changes, so do the demands on you, the cardiac surgeon. That’s why Medtronic is committed to supporting MICS CABG. Together — with your skilled knowledge and our enabling technologies — we can deliver the right therapies for each individual patient with coronary artery disease (CAD).
Learn new beating heart skills and gain hands-on experience with technologies that may be new to you. We offer a full range of training programs. Contact us to learn more.
Puskas J, Cheng D, Knight J, et al. Off-pump versus conventional coronary artery bypass grafting: a meta-analysis and consensus statement From the 2004 ISMICS Consensus Conference. Innovations. 2005; 1: 3-27.
Puskas J, Thourani V, Kilgo P, et al. Off-pump coronary artery bypass disproportionately benefits high-risk patients. Ann Thorac Surg. 2009;88:1142-7.
McGinn JT, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual center experience in 450 consecutive patients. Circulation. 2009; 120:S78-S84.
Poston RS, Tran R, Collins M, et al. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008:248:638-646.
Lemma M, Antanasiou T, Contino M. Minimally invasive cardiac surgery-coronary artery bypass graft. Multimedia Manual of Cardio-Thoracic Surgery. Published online 29 June 2013.
Hoff S, McGinn J, Rabindra P, Ramchandani M, Ruel M. MICS CABG Technique Overview. Medtronic. January 2017.
Not all patients are candidates for beating heart procedures. Some patients would require cardiopulmonary support during surgery.
See the device manual for detailed information regarding the instructions for use, the implant procedure, indications, contraindications, warnings, precautions, and potential adverse events.
For further information, contact your local Medtronic representative and/or consult the Medtronic website at www.medtronic.eu. For applicable products, consult instructions for use on manuals.medtronic.com. Manuals can be viewed using a current version of any major internet browser. For best results, use Adobe Acrobat® Reader with the browser.