New heart bypass approach could mean faster recovery for patients
NCT ID NCT06794359
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a minimally invasive heart bypass surgery for people with blockages in multiple coronary arteries. Instead of opening the chest fully, surgeons work through a small incision on the left side. The goal is to see if this approach is safe and effective, with fewer complications and quicker recovery. About 100 adults with multi-vessel disease will take part, and researchers will track major events like death, heart attack, or stroke for up to 6 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Minimally invasive coronary artery bypass surgery (procedure)
- What this could lead to
- If successful, this could offer a less invasive alternative to traditional open-heart bypass surgery, potentially leading to faster recovery and fewer complications for patients with multi-vessel coronary disease.
- What could go wrong
- This is a small pilot study with only 100 participants, so results may not apply to all patients. The procedure is complex and may have risks like conversion to open surgery or major adverse events.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Oct 2023
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients 18-years-old or older * Isolated myocardial revascularization procedure * Double or Triple-vessel disease with proximal or mid LAD disease with angiographic diameter stenosis \> 70% by visual analysis in all territories, requiring myocardial revascularization OR proximal LAD disease with angiographic diameter stenosis 50-70% by visual analysis in any territory but with invasive or non-invasive evidence of flow-limiting stenosis in all three territories, requiring myocardial revascularization * Total SYNTAX score \> 22 or low Syntax score unsuitable for PCI * Clinical and anatomic eligibility for both Minimally invasive and Conventional CABG surgery as agreed to by surgical team. * Silent ischemia, stable angina, unstable angina or recent MI \- If recent MI, cardiac biomarkers must have returned to normal prior to randomization * Ability to sign informed consent and comply with all study procedures Exclusion Criteria: * Reoperation * Need for any concomitant cardiac surgery other than CABG (e.g. valve surgery, aortic repair, etc.), or intent that if the patient randomizes to surgery, any cardiac surgical procedure other than isolated CABG will be performed * Left ventricle disfunction (EF\<40%) * Chronic Pulmonary obstructive disease * Renal failure disease * Emergency surgery * Obesity * Sternum anatomic defects including pectus excavatum * Peripheral vascular disease * Ascending aorta severe calcification * Non cardiac co-morbidities with life expectancy less than 1 year
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Coronary arterial disease (CAD) are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
INCOR - Heart Institute from the University of Sao Paulo
São Paulo, São Paulo, 05403900, Brazil
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can VR lessons help heart patients take their medicines?
- Heart arteries without metal: CT scans track Drug-Coated balloon results
- Can we predict sudden cardiac arrest in heart disease patients?
- Grape juice vs. heart disease: a metabolic showdown
- Which blood thinner is safer for heart patients? a Head-to-Head test
- Can a new heart pump outperform the standard during High-Risk angioplasty?