New coronary revascularisation techniques - horizon scanning review

Record ID 32002000837
Authors' objectives:

To summarise the current research evidence on new coronary revascularisation techniques for coronary artery disease.

Authors' recomendations: - Clinical impact: OPCAB and MIDCAB appear at this stage to be promising alternatives to conventional CABG in patients with accessible arteries. Results from long-term comparison with conventional CABG are needed before widespread use is advisable, as there is some concern that the standard of anastamosis may be poorer when performed on the beating heart. - Service impact: The new revascularisation techniques will require further training for surgeons on what is generally agreed to be a steep learning curve. If trial results are replicated in practice widespread use of OPCAB and MIDCAB may lead to cost savings. - Patient issues: OPCAB and MIDCAB may be preferable options for many patients as recovery times, morbidity and complications are reportedly significantly reduced. Once widely available there may to be increasing demand for this type of revascularisation. - Financial and overall NHS impact: Early results indicate that OPCAB and MIDCAB are likely to cost less at hospital level but there may be high training costs for surgeons.
Authors' methods: Overview
Project Status: Completed
Year Published: 2001
URL for published report:
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Cardiac Surgical Procedures
  • Coronary Disease
  • Costs and Cost Analysis
  • Myocardial Revascularization
Organisation Name: NIHR Horizon Scanning Centre
Contact Address: The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
Contact Name:
Contact Email:
Copyright: National Horizon Scanning Centre
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.