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Robotic Assisted Minimally Invasive Coronary Revascularisation: Midterm Results.
Gökhan Arslanhan1, Zeynep Sıla Özcan1, Şahin Şenay1
1Department of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, Turkey.
Summary
Robotic-assisted minimally invasive coronary bypass surgery (RA-CABG) demonstrates safe midterm outcomes. This approach offers excellent results for multivessel revascularization, enhancing patient recovery.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic assistance in coronary bypass surgery offers advantages like extended LIMA harvest and avoidance of sternotomy.
- This enables a less invasive approach for multivessel revascularization.
Purpose of the Study:
- To present the midterm clinical outcomes of robotic-assisted minimally invasive coronary bypass (RA-CABG) surgery.
- Evaluate survival rates and major adverse cardiovascular events (MACE) up to 5 years post-procedure.
Main Methods:
- Study included 150 consecutive patients undergoing RA-CABG with CT angiography guidance.
- Robotic LIMA harvesting was performed.
- Midterm survival and MACE incidence were the primary outcome measures.
Main Results:
- Median follow-up was 19.8 months.
- 1-year survival was 99.1%, and 5-year survival was 97.5%.
- 1-year freedom from MACE was 97.3%, and 5-year freedom from MACE was 95%.
Conclusions:
- Robotic-assisted minimally invasive coronary bypass surgery shows safe midterm results.
- The procedure can be performed effectively, yielding excellent clinical outcomes.
