What is MICS CABG or MICAS?
MICS CABG or Keyhole heart bypass surgery is also called minimally invasive coronary bypass surgery. It may also be called a minimally invasive CABG or Keyhole CABG. It is the technique of minimally invasive bypass of blocked blood vessels in the heart. The operation is done through a small cut on the left side of the chest. It is a relatively new but advanced technique of performing coronary bypass (CABG) for coronary artery disease. This cut is placed just under the nipple. The chest entered between the ribs without cutting any bones and by splitting the muscle. Similar to a regular heart surgery the operation is performed using all arteries or a combination of arteries and veins removed from the leg. The vessel from the leg in this operation is also removed endoscopically (EVH) without cutting the skin over the leg. Highly advanced instrumentation and advanced techniques allow for the operation to be performed very safely.
Advantages of MICS CABG(Keyhole Bypass)
First and foremost is the fact that no bones are cut. This has several advantages in reducing pain, retaining function and a positive effect on breathing. Unlike traditional heart surgery return to normal life including driving or other activities is not disrupted and can be started almost immediately. Second, blood loss is almost negligible eliminating blood transfusion in most and eliminating blood borne infection. Third, all infections are reduced whether it be wound infections or post surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection. Fourth, the incision is so cosmetic and measures just 2 – 3 inches that it’s practically impossible to tell that a heart operation is performed.
Patients suitable for MICS CABG
MICS CABG – Thinking Forward…
MICS is the future of heart surgery. Its safe, effective and delivers outstanding patient comfort and outcomes. It’s the best thing to happen to heart surgery in the last two decades.
There is a reason we are leaders. We are the single largest centre for MICS CABG in the world and the worlds largest experience as well. We are one of 8 centres for a global trial on MICS CABG. You can read about it here.
There’s more, we use the latest technology to make surgery safe for you. All conduits for bypass are harvested endoscopically or robotically. This means MICS CABG is truly minimally invasive. We conserve your blood with state of the art equipment so that no foreign blood is given to you. Most importantly, every bypass graft is checked with special instruments to make sure its functioning well before we leave the OT. This quality assurance is what makes us leaders and our outcomes superior. Read more about verifying graft patency here.
Video of Transit Time Flow Doppler
Not suitable for Keyhole Bypass Surgery?
That’s a lie. 70% of our patients are suitable for MICS CABG. It’s exactly why, we are the leaders. Meet us and we will prove them wrong almost always.
A highly skilled team coupled with state of the art technology offers unmatched patient outcomes
We rethought everything that mattered....
Advanced instrumentation plays a key role in the exceptional outcomes that MICAS offers
Rethinking coronary bypass...
We perfected the MICS CABG procedure much before anyone even dreamed of it in the country! With the largest series and the best outcomes, we are true leaders in minimally invasive heart surgery.
Our outcomes are unmatched!
Reduction in Pain
Reduced Blood Transfusion
Days in Hospital
For over four decades coronary bypass surgery or CABG as its commonly referred to, had just one goal. The goal was to restore the heart’s blood supply effectively and in a long lasting manner. There was one way to do it. Cut open the breast bone or sternum into two halves, causing significant pain and slow recovery, essentially scarring the patient for life. Nothing changed all these years. But now, if we could do the same operation, equally effectively without cutting any bone. This was the challenge!
Imagine heart surgery with no bones to be cut, with little or no pain, with just 3 days in the hospital and the ability to return to normal life as early as a week. Minimally invasive CABG or minimally invasive bypass also called MICS CABG or MICAS is just that solution. Its the most advanced method of bypassing blocked blood vessels in your heart without breaking your chest. It’s the solution that everyone was waiting for both surgeon and patient. It offers outcomes that are unmatched.
Listen to A Patient’s Experience
Recover in days, not months!
We are often asked by patients and families on the differences in recovery between open bypass surgery and MICS CABG. While it may not always be possible to measure each difference, one aspect stands out. Those who have undergone MICS CABG seem mentally stronger and more confident during their recovery immediately after the procedure. We also note that this feeling of wellness seems to persist several months later after the procedure. We believe that this is probably because of less psychological trauma associated with MICS CABG surgery. We have put up a set of differences in recovery between open and MICS CABG. This should help patients and their families to know what to expect before and after surgery.
- Surgical wound heals in ten days
- Fit to drive a car or motorcycle in a week
- No restriction to carry weights
- No restrictions on social visits
- Can resume normal life activities in ten days
- Active lifestyle is encouraged
- No risk of bone infection as no bones are cut
Open CABG (Sternotomy)
- Surgical wound heals over three months as the bone is cut.
- Should not drive a car or motorcycle for 2 to 3 months (until bone healing is complete)
- Unsafe to carry weights
- Social visits unsafe until healing is complete (risk of infection)
- Resume normal activity in 2 months
- Active lifestyle restricted to walking.
- Upper body exercises/cycling etc discouraged until bone heals
- Deep wound infection (bone) can be life threatening
MICS CABG Suits 70% Of Patients
Near Zero Infection
MICAS is the new ‘state of the art’ for CABG. What was once
considered impossible is now possible
How is MICAS performed?
- Reduction in Infection 99% 99%
- Reduction in Analgesic Use 70% 70%
- Return to Work in 10 days 75% 75%
- Reduction in Blood Transfusion 70% 70%
The Results Were Amazing
Comparing MICS CABG to Open Coronary Bypass
MICAS or MICS CABG
Days in Hospital (MICAS)
Return to Work In Days (MICAS)
The benefits of MICS CABG over Conventional CABG stands out when compared. Practically every parameter that was compared was superior in the MICS CABG group.
Our center is practically the only one in the world that offers post operative angiograms to patients to prove graft patency if they so desire.
Conventional CABG or Coronary Bypass
Days in Hospital (Sternotomy)
Return to Work in Days (Sternotomy)
Understanding the tools behind the technique….
Frequently Asked Questions
These are answers to a few questions that patients frequently ask. You can also visit the FAQ page for more answers. If you have a question that’s not answered and is relevant to this technique or your recovery after this operation, please let us know and we will answer it for you.