{"schema_version":"bookimed.page-context.v1","id":"doctor-piroze-davierwala","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-piroze-davierwala.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"doctor-profile","title":"Piroze M. Davierwala: total-arterial minimally invasive CABG","summary":"Piroze Davierwala directs the minimally invasive cardiac-surgery programme at UHN. Its coronary service includes selected multivessel total-arterial CABG through an incision between the ribs without heart–lung support.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Graft material and access","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","sources":["pd-adult-uhn-cabg"]},{"label":"Arterial-graft cohort","text":"In a historical 186-patient 2015–2021 MICS series, bilateral internal thoracic arteries were used in 88%; estimated five-year survival was 93.3%.","sources":["pd-adult-mics186"]},{"label":"Current practice is Toronto","text":"The official biography identifies Davierwala as UHN’s MICS surgical director after an earlier period in Leipzig.","sources":["pd-adult-davierwala-official"]}],"benefits":[{"text":"UHN describes selected multivessel bypass using arterial grafts through a smaller incision without heart–lung support.","sources":["pd-adult-uhn-cabg"]}],"limitations":[{"text":"The 186-patient elective series belongs to the earlier Leipzig programme and reported one hospital death and two sternotomy conversions. It is not a current Toronto outcome cohort.","sources":["pd-adult-uhn-cabg","pd-adult-mics186","pd-adult-davierwala-official"]}],"sections":[{"id":"benefit-balance","title":"Benefits and limitations","text":"Benefits and limitations Potential advantages UHN describes selected multivessel bypass using arterial grafts through a smaller incision without heart–lung support. Sources: Minimally invasive coronary artery bypass graft surgery Trade-offs and limits The 186-patient elective series belongs to the earlier Leipzig programme and reported one hospital death and two sternotomy conversions. It is not a current Toronto outcome cohort. Sources: Minimally invasive coronary artery bypass graft surgery · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. · MICS programme and Dr Piroze M. Davierwala","links":[{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"},{"label":"MICS programme and Dr Piroze M. Davierwala","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"}]},{"id":"research","title":"Procedure-specific research","text":"Procedure-specific research Five-year total-arterial MICS outcomes Davierwala coauthored a 186-patient elective series from 2015–2021. Bilateral internal thoracic arteries were used in 88%; there was one hospital death and two conversions to sternotomy. Estimated five-year survival was 93.3%. How to interpret this: Selected single-centre cohort associated with the Leipzig programme. It is historical experience, not a current Toronto result or a head-to-head proof that every patient benefits from this strategy. Sources: Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","links":[{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"}]},{"id":"team","title":"Clinical programme","text":"Clinical programme Peter Munk Cardiac Centre, Toronto General Hospital → Toronto, Canada Toronto General’s Peter Munk MICS programme, directed by Piroze Davierwala, describes single-vessel and selected multivessel CABG using arterial grafts. The service distinguishes graft strategy, access side and use of heart–lung support. Sources: Minimally invasive coronary artery bypass graft surgery · MICS programme and Dr Piroze M. Davierwala · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. Explore the programme and other specialists →","links":[{"label":"Peter Munk Cardiac Centre, Toronto General Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/"},{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"MICS programme and Dr Piroze M. Davierwala","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"},{"label":"Explore the programme and other specialists →","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/"}]}],"introduction":"Heart surgery guide / Piroze M. Davierwala Piroze M. Davierwala · Decision guide Piroze M. Davierwala: total-arterial minimally invasive CABG Total-arterial minimally invasive CABG at Toronto General · Toronto, Canada Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Piroze Davierwala directs the minimally invasive cardiac-surgery programme at UHN. Its coronary service includes selected multivessel total-arterial CABG through an incision between the ribs without heart–lung support. Graft material and access UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG. Sources: Minimally invasive coronary artery bypass graft surgery Arterial-graft cohort In a historical 186-patient 2015–2021 MICS series, bilateral internal thoracic arteries were used in 88%; estimated five-year survival was 93.3%. Sources: Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. Current practice is Toronto The official biography identifies Davierwala as UHN’s MICS surgical director after an earlier period in Leipzig. Sources: MICS programme and Dr Piroze M. Davierwala Portrait source ↗ cardiac surgeon Piroze M. Davierwala Peter Munk Cardiac Centre, Toronto General Hospital → Surgical Director, Minimally Invasive Cardiac Surgery Program Surgical Director, Minimally Invasive Cardiac Surgery Program · Toronto, Canada. Read the clinical or research source ↗","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"coronary-bypass","title":"Coronary bypass surgery (CABG): options, teams and recovery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/coronary-bypass/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/coronary-bypass.json"},{"id":"minimally-invasive","title":"Minimally invasive and robotic heart surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/minimally-invasive/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/minimally-invasive.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"surgeon-rankings","title":"Heart surgeon rankings by reported experience, method and results","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/surgeon-rankings/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeon-rankings.json"},{"id":"clinic-uhn","title":"Peter Munk Cardiac Centre, Toronto General Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-uhn.json"}],"entity":{"id":"piroze-davierwala","name":"Piroze M. Davierwala","programme_id":"uhn","role":"Surgical Director, Minimally Invasive Cardiac Surgery Program","procedure_relevance":["Total-arterial multivessel minimally invasive CABG; coronary, valve and aortic minimally invasive surgery."],"source_ids":["pd-adult-uhn-cabg","pd-adult-mics186","pd-adult-davierwala-official"],"official_url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","discipline":"cardiac surgeon","topic_slugs":["coronary-bypass","minimally-invasive","aortic-surgery"],"profile":{"intro":"Piroze Davierwala directs the minimally invasive cardiac-surgery programme at UHN. Its coronary service includes selected multivessel total-arterial CABG through an incision between the ribs without heart–lung support.","clinical_focus":[{"label":"Graft material and access","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","source_ids":["pd-adult-uhn-cabg"]},{"label":"Arterial-graft cohort","text":"In a historical 186-patient 2015–2021 MICS series, bilateral internal thoracic arteries were used in 88%; estimated five-year survival was 93.3%.","source_ids":["pd-adult-mics186"]},{"label":"Current practice is Toronto","text":"The official biography identifies Davierwala as UHN’s MICS surgical director after an earlier period in Leipzig.","source_ids":["pd-adult-davierwala-official"]}],"evidence":[{"title":"Five-year total-arterial MICS outcomes","summary":"Davierwala coauthored a 186-patient elective series from 2015–2021. Bilateral internal thoracic arteries were used in 88%; there was one hospital death and two conversions to sternotomy. Estimated five-year survival was 93.3%.","limitations":"Selected single-centre cohort associated with the Leipzig programme. It is historical experience, not a current Toronto result or a head-to-head proof that every patient benefits from this strategy.","source_ids":["pd-adult-mics186"]}],"consultation_questions":[],"current_role_note":"Surgical Director, Minimally Invasive Cardiac Surgery Program · Toronto, Canada.","key_takeaways":[{"label":"Graft material and access","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","sources":["pd-adult-uhn-cabg"]},{"label":"Arterial-graft cohort","text":"In a historical 186-patient 2015–2021 MICS series, bilateral internal thoracic arteries were used in 88%; estimated five-year survival was 93.3%.","sources":["pd-adult-mics186"]},{"label":"Current practice is Toronto","text":"The official biography identifies Davierwala as UHN’s MICS surgical director after an earlier period in Leipzig.","sources":["pd-adult-davierwala-official"]}],"benefits":[{"text":"UHN describes selected multivessel bypass using arterial grafts through a smaller incision without heart–lung support.","sources":["pd-adult-uhn-cabg"]}],"limitations":[{"text":"The 186-patient elective series belongs to the earlier Leipzig programme and reported one hospital death and two sternotomy conversions. It is not a current Toronto outcome cohort.","sources":["pd-adult-uhn-cabg","pd-adult-mics186","pd-adult-davierwala-official"]}],"patient_sections":[{"id":"benefit-balance","title":"Benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"research","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"doctor-evidence","links":[],"table":null},{"id":"team","title":"Clinical programme","paragraphs":[],"items":[],"sources":[],"kind":"doctor-clinic","links":[],"table":null}]},"photo_candidate":{"url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/PublishingImages/Pages/About/Piroze-Davierwala.png","source_page":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","alt":"Portrait of Piroze M. Davierwala","source_alt":"Dr. Piroze M. Davierwala","provenance":"URL observed on official page; image bytes not downloaded; coordinator to inspect before use."},"topics":["cabg","minimal","aorta"],"headline":"total-arterial minimally invasive CABG","profile_slug":"doctor-piroze-davierwala","portrait":{"url":"https://hub.bookimed.com/wp-content/uploads/2026/10/piroze-davierwala-300x300.png","source_page":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","width":600,"height":600,"alt":"Portrait of Piroze M. Davierwala"}},"sources":{"cabg-leipzig186":{"id":"cabg-leipzig186","title":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/","doi":"10.1016/j.athoracsur.2024.06.037","publication_year":2024,"source_kind":"primary_retrospective_single_centre_study","body_access":"primary_abstract_read_via_Europe_PMC","support_location":"Methods and Results; affiliations identify Leipzig and current Toronto association","short_excerpt":"186 patients underwent elective, total arterial minimally invasive CABG","read_at":"2026-10-07","source_type":"primary_retrospective_single_centre_study"},"cabg-davierwala-current":{"id":"cabg-davierwala-current","title":"About the MICS Program — Peter Munk Cardiac Centre, UHN","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","source_kind":"official_current_hospital_programme_profile","body_access":"search_returned_body_excerpt_read","support_location":"Dr. Piroze M. Davierwala biography and Leipzig-to-Toronto chronology","short_excerpt":"Surgical Director of the Minimally Invasive Cardiac Surgery (MICS) Program","read_at":"2026-10-07","source_type":"official_current_hospital_programme_profile"},"cabg-uhn-cabg-current":{"id":"cabg-uhn-cabg-current","title":"Coronary artery bypass graft surgery — Peter Munk Cardiac Centre","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx","source_kind":"official_current_programme_page","body_access":"search_returned_body_excerpt_read","support_location":"Three procedures offered by Dr Davierwala","short_excerpt":"using only arterial bypass grafts","read_at":"2026-10-07","source_type":"official_current_programme_page"},"pd-adult-davierwala-official":{"title":"MICS programme and Dr Piroze M. Davierwala","publisher":"University Health Network","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","read_at":"2026-10-08","kind":"official provider or programme page","support":"Current UHN surgical director; historical Leipzig role; arterial MICS experience.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/davierwala-official.txt"},"pd-adult-uhn-cabg":{"title":"Minimally invasive coronary artery bypass graft surgery","publisher":"University Health Network","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx","read_at":"2026-10-08","kind":"official provider or programme page","support":"Current programme offers single- and multivessel arterial CABG without a heart-lung machine.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/uhn-cabg.txt"},"pd-adult-mics186":{"title":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","publisher":"The Annals of thoracic surgery","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/","read_at":"2026-10-08","kind":"original study abstract and author/affiliation record","support":"Abstract body and authorship inspected; numerical claims below are restricted to the reported endpoint and population.","limitations":"Full manuscript and supplementary operator allocations were not read in this pass. Authorship is not an individual surgical outcome series.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/mics186.json","published_at":"2024-08-09","doi":"10.1016/j.athoracsur.2024.06.037","authors":"Verevkin A, Von Aspern K, Tolboom H, Gadelkarim I, Etz C, Misfeld M, Borger MA, Davierwala PM."}}}