Table 1: Criteria for Considering Patients for Minimally Invasive Coronary Artery Bypass Grafting Through Limited Thoracic Access.

Minimally invasive CABG through limited thoracic access can be considered in patients with isolated LAD disease with recommendation for arterial IMA to LAD grafting

Minimally invasive CABG through limited thoracic access should only be performed in centres with sufficient experience in minimal invasive and off-pump CABG surgery

Hybrid procedures, defined as consecutive or combined surgical and percutaneous revascularisation, may be considered in specific patient subsets at experienced centres

Van den Eynde et al.[43]: hybrid approaches combining MIDCAB and PCI, and MIDCAB with BIMA grafts can both be used as a revascularisation strategy in patients with triple vessel disease. If available in the hospital, these strategies should be considered by the heart team

BIMA = bilateral internal mammary artery; CABG = coronary artery bypass grafting; IMA = internal mammary artery; LAD = left anterior descending coronary artery descending; MIDCAB = minimally invasive direct coronary artery bypass; PCI = percutaneous coronary intervention.