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Robotic‐assisted coronary artery bypass surgery: an 18‐year single‐centre experience
Author(s) -
Giambruno Vincenzo,
Chu Michael W.,
Fox Stephanie,
Swinamer Stuart A.,
Rayman Reiza,
Markova Zarina,
Barnfield Rebecca,
Cooper Mitchell,
Boyd Douglas W.,
Menkis Alan,
Kiaii Bob
Publication year - 2018
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1891
Subject(s) - medicine , artery , anastomosis , bypass grafting , surgery , revascularization , cardiac catheterization , cardiology , myocardial infarction
Background Minimally invasive robot‐assisted direct coronary artery bypass (RADCAB) has emerged as a feasible minimally invasive surgical technique for revascularization that might offer several potential advantages over conventional approaches. We present our 18‐year experience in RADCAB. Methods Between February 1998 and February 2016, 605 patients underwent RADCAB. Patients underwent post‐procedural selective graft patency assessment using cardiac catheterization. Results The mortality rate was 0.3%. The rate of conversion to sternotomy for any cause was reduced from 16.0% of the first 200 cases to 6.9% of the last 405 patients. The patency rate of the LITA‐to‐LAD anastomosis was 97.4%. Surgical re‐exploration for bleeding occurred in 1.8% of patients, and the transfusion rate was 9.2%. Average ICU stay was 1.2 ± 1.4 days, and average hospital stay was 4.8 ± 2.9 days. Conclusions Robot‐assisted coronary artery bypass grafting is safe, feasible and it seems to represent an effective alternative to traditional coronary artery bypass grafting in selected patients.