Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up.

Tópicos

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Resumo

CKGROUND: Robotic telemanipulation systems have emerged as facilitating tools that enhance minimally invasive cardiac surgery.The purpose of this study was to evaluate graft patency by a combination of invasive and non-invasive coronary angiography methods in robotic-assisted coronary artery surgery(CABG) for optimal quality control.METHODS: Between April 2004 and February 2012, patients who had robotic-assisted CABG were called to have cardiac catheterization or multislice computed tomographic angiography to evaluate graft patency.RESULTS: One hundred patients out of a total 250 cases were followed for graft patency for a mean period of 60.3 ? 23.8 (range 12-94) months. Mean operative time and left internal mammary artery harvest time was 165.96 ? 19.5 and 41.74 ? 5.9 (range 30-55) min. Postoperative graft patency rate was 94% and freedom from target vessel re-interventions was 98%.CONCLUSION: Robotic-assisted CABG can be accomplished with low morbidity, mortality and re-intervention rates. It is a safe procedure in selected patients and produces excellent mid-term graft patency.

Resumo Limpo

ckground robot telemanipul system emerg facilit tool enhanc minim invas cardiac surgeryth purpos studi evalu graft patenc combin invas noninvas coronari angiographi method roboticassist coronari arteri surgerycabg optim qualiti controlmethod april februari patient roboticassist cabg call cardiac catheter multislic comput tomograph angiographi evalu graft patencyresult one hundr patient total case follow graft patenc mean period rang month mean oper time left intern mammari arteri harvest time rang min postop graft patenc rate freedom target vessel reintervent conclus roboticassist cabg can accomplish low morbid mortal reintervent rate safe procedur select patient produc excel midterm graft patenc

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