Smaller incision, faster recovery? new trial tests heart bypass techniques
NCT ID NCT03447938
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two types of heart bypass surgery for people with blocked arteries: a minimally invasive approach using small incisions between the ribs versus the traditional method that opens the breastbone. Researchers want to see if the less invasive surgery leads to better physical function and quality of life one month after the operation. About 176 patients are taking part, and they will be followed for a year.
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 grafting (MICS CABG) procedure
- What this could lead to
- If successful, this could show that a less invasive heart bypass surgery leads to faster recovery and better quality of life than the standard open-chest approach.
- What could go wrong
- This is a relatively small trial (176 patients) and results may not apply to all patients. The minimally invasive procedure is technically demanding and may not be suitable for everyone.
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
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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
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About 176 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2018
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * 18 years of age or older * Angiographically-confirmed multi-vessel coronary artery disease lesions with \>=70% in at least 2 major epicardial vessels in 2 or more coronary artery territories (left anterior descending (LAD), circumflex (CX) and right coronary artery (RCA)) OR lesions \>=50% in the left main (LM) * Patients who, in the opinion of the investigator, are amenable for coronary surgery through either median sternotomy or minimally-invasive approach. * Patients who are willing and able to comply with all follow-up study visits. Exclusion Criteria: * \<18 years of age * concomitant cardiac procedure with CABG (e.g. valve repair or replacement) * Previous cardiac surgery, mediastinal irradiation, or significant trauma to the chest * Contra-indications for MICS CABG, including: severe pectus excavatum; severe pulmonary disease; hemodynamically significant left subclavian stenosis; morbid obesity; severe left ventricular (LV) dysfunction; no adequate PDA or marginal branch target; absence of femoral pulse bilaterally. * Contraindications for conventional CABG via sternotomy * Concomitant life-threatening disease likely to limit life expectancy to \<2 years * Emergency CABG with hemodynamic compromise * Inability to provide informed consent.
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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.
Contacts and locations
Locations
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Apollo Hospital, Bangalore
Bangalore, Karnataka, 560041, India
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Division of Cardiac Surgery, University of Ottawa Heart Institute
Ottawa, Ontario, K1Y 4W7, Canada
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Far-Eastern Memorial Hospital
Taipei, Taipei, 220, Taiwan
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Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601, United States
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Jilin Heart Hospital
Jilin City, Jilin, 130117, China
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Leipzig Heart Institute GmbH
Leipzig, Saxony, Germany
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Manipal Hospitals
New Delhi, National Capital Territory of Delhi, India
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National University Hospital (NUH) - Singapore
Singapore, Singapore
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Robert-Bosch-Hospital
Stuttgart, Germany
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Tokyo Bay Urayasu Ichikawa Medical Center
Urayasu, Chiba, Japan
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Universitaire Ziekenhuizen Leuven
Leuven, Belgium
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University Health Network
Toronto, Ontario, Canada
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
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