Document Detail


Robotically enhanced coronary artery bypass grafting: the feasibility and clinical outcome of 196 procedures.
MedLine Citation:
PMID:  19253902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to assess the feasibility of robotically enhanced myocardial revascularization and to present the clinical outcome of 196 patients. METHODS: All internal thoracic arteries were harvested with the aid of a robotic surgical system. While off-pump revascularization techniques were mostly used, peripheral cardiopulmonary bypass was needed in some cases with multivessel disease. RESULTS: A single (n = 118) or multivessel (n = 74) coronary revascularization was performed. Four patients had to be converted to median sternotomy. There was no operative mortality. Follow-up was complete in 88% (n = 169) patients. The rate of freedom from ischaemic symptoms was 98.2% at mean 22 +/- 3 months. Graft patency was 96.4% (81/84). CONCLUSIONS: By increasing surgical capabilities, robotically enhanced CABG in single or multivessel coronary disease was safe, effective and reasonable. It can be an alternative approach to percutaneous methods and conventional surgical techniques, or even used in acute coronary events.
Authors:
Baris Caynak; Ertan Sagbas; Burak Onan; Ismihan Selen Onan; Ilhan Sanisoglu; Belhhan Akpinar
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The international journal of medical robotics + computer assisted surgery : MRCAS     Volume:  5     ISSN:  1478-596X     ISO Abbreviation:  -     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-20     Completed Date:  2009-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101250764     Medline TA:  Int J Med Robot     Country:  England    
Other Details:
Languages:  eng     Pagination:  170-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Istanbul Bilim University, Florence Nightingale Hospital, Istanbul, Turkey. caynakbaris@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Artery Bypass / adverse effects,  instrumentation,  methods*
Coronary Artery Bypass, Off-Pump / adverse effects,  instrumentation,  methods
Coronary Artery Disease / surgery
Female
Humans
Male
Mammary Arteries / surgery
Middle Aged
Postoperative Complications / etiology
Robotics / instrumentation,  methods*
Surgery, Computer-Assisted / instrumentation,  methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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