Bülent MEŞE, Feragat UYGUR, Ömer ÇOKKALENDER
Çukurova Anestezi ve Cerrahi Bilimler Dergisi - 2026;9(1):103-108
Aim: The aim of coronary bypass surgery is complete revascularization. As a current method that provides this and minimizes patient choice, we aimed to report the classic CABG (Coronary Artery Bypass Graft surgery) series performed by the same team during the same period with the TCRAT (Total Coronary Revascularization via Small Left Anterior Thoracotomy) method by comparing it with in-hospital and 30-day results. Methods: This study included 250 patients with multivascular lesions who underwent total coronary revascularization with the TCRAT method between January 2020 and January 2024, and 250 patients who underwent conventional CABG by the same team during the same period. All patients underwent surgery using standard surgical instruments, and all underwent two or more distal anastomoses. Results: In the operative data, CPB (Cardio Pulmonary Bypass) time was 68.3+/-15.7 minutes and cross-clamp time was 34+/-10.6 minutes in the CABG group, while in the TCRAT group, CPB time was 102.8+/-23.3 minutes and cross-clamp time was 63.7+/-23.3 minutes. (p<0.001). The postoperative blood transfusion requirement during the intensive care period was 2+/-0.6 units in the CABG group and 0.8+/-0.4 units in the TCRAT group (p<0.001). The extubation time for patients in the intensive care unit was 11+/-1.6 hours in the CABG group and 6.5+/-1 hours in the TCRAT group (p=0.001). New postoperative AF development was observed in 45 (18%) patients in the CABG group, compared to 22 (8.8%) in the TCRAT group (p=0.003). The revision rate, including suture and debridement, was limited to 75 (30%) patients in the CABG group and 5 (2%) in the TCRAT group (p<0.001). Conclusions: When the likelihood of delayed wound and bone healing and return to daily life increases with conventional CABG, the TCRAT technique can be considered as an alternative surgical method.
