The network meta-analysis of aortic no touch techniques provides a “Class 1, Level of evidence B’ indication for minimising the aortic manipulation during CAGS.
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Network meta-analysis favouring anaortic cag
 Zhao DF, Edelman JJ, Seco M, Bannon PG, Wilson MK, Byrom MJ, et al.
Coronary artery bypass grafting with and without manipulation of the
ascending aorta: A network meta-analysis. J Am Coll Cardiol 2017;69:
At just 44, Joanna was told there was a 90 per cent blockage in one of the arteries in her heart. she was ideal for a keyhole coronary bypass operation using the new da Vinci Xi robot. “It allows us to do safe, minimally invasive open-heart surgery through smaller cuts, so you get back to normal function faster,”
Unlike traditional coronary bypass surgery, where patients must be hooked up to a heart-lung machine, this operation is done while the heart is still beating “We do this because it reduces the incidence of stroke. The chance of having a stroke in our hands is a fraction of one per cent.”