Robotic totally endoscopic multivessel coronary artery bypass grafting: procedure development, challenges, results

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
Johannes BonattiEric J Lehr

Abstract

Closed-chest totally endoscopic coronary artery bypass grafting (TECAB) is feasible using robotic technology. During the early phases, TECAB was restricted to single bypass grafts to the left anterior descending artery system. Because most patients referred for coronary artery bypass surgery have multivessel disease, development of endoscopic multiple bypass grafting is mandatory. Experimental work on multivessel TECAB was carried out in the early 2000s, and first clinical cases were already performed. With further technological development of operating robots, double, triple, and quadruple TECAB has become feasible both on the arrested heart and on the beating heart. To date, 161 cases of multivessel TECAB using the da Vinci telemanipulation systems are published in the literature. The main advances enabling multivessel TECAB were the availability of a robotic endostabilizer for beating heart procedures and increased surgeon skills using remote access heart-lung machine perfusion and endo-cardioplegia. Both internal mammary arteries can be harvested and both radial artery and vein graft can be used in multivessel TECAB. Y-grafting and sequential grafting are feasible. Multivessel endoscopic surgical revascularization can be co...Continue Reading

References

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Citations

Jul 16, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Seema P DeshpandeAlina M Grigore
Sep 1, 2015·Progress in Cardiovascular Diseases·Julius I EjioforJohn G Byrne
May 9, 2014·The Heart Surgery Forum·Arndt-H KiesslingAnton Moritz
May 1, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philippe KolhStephen Fremes
May 10, 2016·The Journal of Thoracic and Cardiovascular Surgery·Philippe KolhStephen Fremes
Apr 25, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Husam H BalkhyBrooke Patel
Aug 5, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Markus KoflerNikolaos Bonaros
Feb 22, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Lukas StastnyNikolaos Bonaros
Jan 1, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·William T DanielMichael E Halkos
Apr 25, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·David StecherMarc P Buijsrogge
Mar 14, 2019·Proceedings. Biological Sciences·Amelia R CoxFrances Bonier
May 23, 2014·Proceedings. Biological Sciences·Sébastien Rioux PaquetteMarc Bélisle
Dec 11, 2013·Current Opinion in Anaesthesiology·Seema P DeshpandeEric J Lehr
Sep 20, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Hiroto KitaharaHusam H Balkhy
Dec 13, 2019·Expert Review of Medical Devices·Johannes BonattiMartin Grabenwöger
Aug 11, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Husam H BalkhySachin Mehta
Jun 21, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ben IndjaMichael P Vallely
Feb 26, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Niels J VerberkmoesEric Berreklouw
Jan 13, 2019·The Journal of Thoracic and Cardiovascular Surgery·Hiroto KitaharaHusam H Balkhy
Jun 4, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Ali Fatehi HassanabadWilliam D T Kent
May 20, 2021·Current Opinion in Cardiology·Ryaan El-AndariJeevan Nagendran

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