The Multi Vessel MICS CABG
MICS CABG is Safe and effective,
in upto 5 keyhole bypasses.
Yes, it’s the truth! We frequently meet patients who have been told “it’s impossible”. Here’s the evidence. Do we need to say more?
Post MICS CABG, CT coronary angiogram showing all 5 bypass grafts functioning normally.
Vessels grafted: LIMA to LAD, Radial Artery to Ramus Intermedius and OM, Vein grafts to PDA and PLV
Meet Mr NK…
Mr NK is 43 years old. He is married, has a brilliant career, eats healthy and exercises everyday. In short he is fit with no problems. He was diagnosed with diabetes in his 20’s but has well controlled his blood sugars.
During a routine health check recently his ECG did not look normal. He was advised an angiogram and to his surprise the angiogram showed four blocks in the blood vessels supplying his heart. He was advised a CABG also called coronary artery bypass. While this seemed simple enough, it wasn’t
Several questions ran through his mind. Who, Where, What options and What technique?
The NK’s took more than a month to look at all the options available. They were open to ideas and suggestions by family and friends especially in the doctor community. Considering his age, NK was not very happy about an open CABG. A new recommendation that emerged during the search for less invasive option to open CABG was the MICS CABG procedure performed by us in Bangalore.
A family friend who had also undergone the same MICS CABG procedure vouched for it. When other surgeons and doctors were asked about the MICS CABG they were told that he required 5 grafts and it was impossible to do it by the MICS technique.
They finally decided to find out for themselves, flew in to Bangalore and met me at Apollo Hospital. They understood how safe the procedure was after meeting with other patients inside the hospital who had already undergone the procedure. Now, they were all set to undergo a MICS CABG.
A week later he underwent a successful MICS CABG procedure with grafts to all the five blocked vessels. He did incredibly well and went home 4 days later. That’s not all. We did a CT angiogram for him which showed all 5 bypass grafts functioning well.
Please see the picture of the CT Angiogram at the top for details.
Significantly reduced pain compared to regular surgery.
Our blood usage has reduced by 70%. It’s as close to bloodless as possible.
Less disruptive to body tissue, non bone cutting allowing faster movement.
Infections are no longer a problem as they simply don’t happen. Even in diabetics!
1. Firstly a big Thanks to Mr Sathyaki Purushotam Nambala
2. I think that I made the right decision in going for an MICS CABG complemented with an EVH. I was happy to see my father walking on the second day of his surgery. The best part was the minimal medication he was during his 5 day stay in the hospital which were few painkillers and regular post-surgical medicines.( I got this surgery done for my father in the last week on Sep 2016)
3. The point that I want to suggest to the hospital is to broadcast this surgery in bigger forums for e.g. there was World heart day on 29th Sep 2016. I did not see enough efforts made on this day within Apollo hospital in broadcasting MICS CABG rather I just saw a talk on few other aspects
4. Lastly it has been difficult for me to convince my company (CERNER) regarding the benefits of MICS CABG and it is the same even with our insurance vendor. Request the hospital and Mr Nambala in supporting me to broadcast MICS CABG Vs CABG to convince myself,my company in telling that I opted for the right surgery.
Anil kumar @9448832555