{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:17:25Z","timestamp":1785151045819,"version":"3.55.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Totally endoscopic coronary artery bypass grafting (TECAB) is a minimally invasive approach to achieve surgical revascularization through a minimally invasive approach. Still, data regarding non-robotic TECAB are limited. This report presents the results of a TECAB technique using long-shafted instruments, defined as Endo-CABG, from a single-centre experience in 1500 consecutive patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>One thousand and five hundred patients underwent Endo-CABG between January 2016 and February 2023. Data were collected retrospectively, and patients were followed up for 1\u2009year. The primary outcome of this study was major adverse cardiac and cerebrovascular events (MACCE)-free survival. Secondary efficacy outcomes were graft failure and mortality. Furthermore, we analysed factors influencing long-term freedom from MACCE and all-cause mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The mean age was 68 [61\u201375] years, of which 193 (12.87%) were octogenarians. Multivessel disease was present in 1409 (93.93%) patients, and the mean EuroSCORE II was 1.64 [1.09\u20132.92] %. All patients underwent full arterial revascularization with bilateral internal mammary grafting in 88.47%. Graft failure occurred in 1.80% of cases after 1\u2009year (n\u2009=\u200927). Thirty-day mortality was 1.73% (n\u2009=\u200926), 1-year survival was 94.7% (95% CI: 93.5\u201395.9%; n\u2009=\u200926) and 1-year MACCE-free survival was 91.7% (95% CI: 90.2\u201393.2%). Age, left ventricular ejection fraction, arterial hypertension and urgency were significantly associated with 1-year MACCE-free survival.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Endo-CABG appears to be a safe procedure, achieves surgical revascularization and provides good outcomes regarding graft failure and MACCE at 1\u2009year, while age, left ventricular ejection fraction, arterial hypertension and urgency were associated with 1-year outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivae159","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T17:51:03Z","timestamp":1726595463000},"source":"Crossref","is-referenced-by-count":6,"title":["Totally endoscopic coronary artery bypass grafting: experience in 1500 patients"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6303-5938","authenticated-orcid":false,"given":"Jade","family":"Claessens","sequence":"first","affiliation":[{"name":"UHasselt\u2014Hasselt University , , Hasselt,","place":["Belgium"]},{"name":"Limburg Clinical Research Center , , Hasselt,","place":["Belgium"]},{"name":"Department of Cardiothoracic Surgery, Jessa Hospital , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Packl\u00e9","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jessa Hospital , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne","family":"Oosterbos","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University , , Hasselt,","place":["Belgium"]},{"name":"Limburg Clinical Research Center , , Hasselt,","place":["Belgium"]},{"name":"Department of Cardiothoracic Surgery, Jessa Hospital , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Smeets","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University , , Hasselt,","place":["Belgium"]},{"name":"Limburg Clinical Research Center , , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Geens","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University , , Hasselt,","place":["Belgium"]},{"name":"Limburg Clinical Research Center , , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Gielen","sequence":"additional","affiliation":[{"name":"UHasselt\u2014Hasselt University , , Hasselt,","place":["Belgium"]},{"name":"Limburg Clinical Research Center , , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Van Genechten","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jessa Hospital , Hasselt,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3531-9997","authenticated-orcid":false,"given":"Samuel","family":"Heuts","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre , Maastricht,","place":["Netherlands"]},{"name":"Cardiovascular Research Institute Maastricht (CARIM), Maastricht University , Maastricht,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3230-7712","authenticated-orcid":false,"given":"Jos G","family":"Maessen","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre , Maastricht,","place":["Netherlands"]},{"name":"Cardiovascular Research Institute Maastricht (CARIM), Maastricht University , Maastricht,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9226-1563","authenticated-orcid":false,"given":"Alaaddin","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jessa Hospital , Hasselt,","place":["Belgium"]},{"name":"Cardiovascular Research Institute Maastricht (CARIM), Maastricht University , Maastricht,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"2024102914123109900_ivae159-B1","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.21037\/jtd.2018.02.43","article-title":"Fifty years of coronary artery bypass grafting","volume":"10","author":"Melly","year":"2018","journal-title":"J Thorac 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