Evidence map›Paper›PMID 41703604›Full record

ArticleJournal of cardiothoracic surgery2026

Surgical outcomes of EA-MIDCAB vs. full sternotomy CABG in multi-vessel coronary artery disease: a retrospective cohort study.

Hemn Abdulrahman Abdullah, Darya Nadir Saeed, Sherzad Ali Ismael, Marwan Abdullah Barzani, Blnd Azad Ismail, Marwan Tayyeb Tahir, Abdullah Haider Flayeh

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hemn Abdulrahman AbdullahCardiovascular Surgeon, Ministry of Health, Erbil, Iraq.ORCID http://orcid.org/0009-0007-7351-6795
Darya Nadir SaeedCardiovascular Surgeon, Ministry of Health, Erbil, Iraq.ORCID http://orcid.org/0009-0001-4878-9261
Sherzad Ali IsmaelProfessor of Community Medicine, Nutrition and Dietetics Department, Tishk International University, Erbil, Iraq.ORCID http://orcid.org/0000-0002-1638-522X
Marwan Abdullah BarzaniIntern Doctor, Hawler Teaching Hospital, Erbil, Iraq. marwanahb1999@gmail.com.ORCID http://orcid.org/0009-0000-4982-4172
Blnd Azad IsmailDepartment of biology, college of science, Salahaddin University-Erbil, Erbil, Kurdistan region, Iraq.ORCID http://orcid.org/0009-0008-3777-9595
Marwan Tayyeb TahirCollege of Medicine, Hawler Medical University, Erbil, Kurdistan Region, Iraq.ORCID http://orcid.org/0009-0004-5785-854X
Abdullah Haider FlayehDepartment of biology, college of science, Salahaddin University-Erbil, Erbil, Kurdistan region, Iraq.ORCID http://orcid.org/0009-0000-9003-7840

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive coronary artery bypass techniques are increasingly adopted to reduce surgical trauma and enhance recovery. This study aimed to compare early clinical outcomes of endoscopic-assisted minimally invasive direct coronary artery bypass (EA-MIDCAB)—predominantly via a periareolar incision—with conventional full sternotomy coronary artery bypass grafting (CABG) in patients with multivessel coronary artery disease.

methodsWe retrospectively analyzed 393 patients diagnosed with multivessel coronary artery disease who underwent coronary artery bypass grafting (CABG) between February 2021 and May 2025. Of these, 332 underwent endoscopic-assisted minimally invasive direct CABG (EA-MIDCAB), and 61 underwent conventional full sternotomy CABG. Baseline characteristics, intraoperative and postoperative outcomes, and complication rates were compared between groups. Statistical analyses were performed using appropriate tests, with significance defined as p < 0.05.

resultsBaseline characteristics and coronary stenosis distribution were comparable between groups. EA-MIDCAB patients demonstrated significantly lower cardiopulmonary bypass (CPB) usage (11.1% vs. 83.6%, p < 0.001), reduced red blood cell transfusion requirements (0.82 vs. 1.56 pints, p < 0.001), and fewer graft conduits (≥ 4 conduits: 0.6% vs. 19.2%, p < 0.001). Despite a higher prevalence of diabetes and hypertension, short-term outcomes—including mortality, renal dysfunction, and postoperative myocardial infarction—were similar between the two groups.

conclusionsEA-MIDCAB offers a safe and effective alternative to full sternotomy CABG for multivessel coronary artery disease, with reduced surgical trauma and transfusion needs.

Indexed as

Coronary Artery BypassCoronary Artery DiseaseEndoscopyMinimally Invasive Surgical ProceduresSternotomyAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeCoronary artery bypassEA-MIDCABMinimally invasive surgical proceduresMultivessel diseasePeriareolar approach

Identifiers

PMID41703604
PMCPMC13015062

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.