A review of 1,582 consecutive Octopus off-pump coronary bypass patients

Hart, James; Spooner, Ted H; Pym, John; Flavin, Thomas F.; Edgerton, James R.; Mack, Michael J.; Jansen, Erik

doi:10.1016/s0003-4975(00)01799-9

Cited by 111 publications

(61 citation statements)

References 6 publications

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“…Hart et al [3] review the entire experience of the Medtronic Octopus System (Medtronic, Minneapolis, MN) for beating heart bypass from 7 surgeons. A total of 1,582 patients underwent attempted Octopus OPCAB.…”

Section: Length Of Hospital Stay Mortality Rates and Cost Savingsmentioning

confidence: 99%

“…Cardiopulmonary bypass may be less well tolerated in these elderly patients who present with significant comorbidities [3]. Off-pump coronary bypass emerged as a new refined technique that is thought to provide a safer form of surgical revascularization by avoiding the unwanted complications of cardiopulmonary bypass, particularly in the increasingly complex patients being referred for operation [3].…”

Section: Introductionmentioning

confidence: 99%

“…Off-pump coronary bypass emerged as a new refined technique that is thought to provide a safer form of surgical revascularization by avoiding the unwanted complications of cardiopulmonary bypass, particularly in the increasingly complex patients being referred for operation [3]. Hemodynamic instability during OPCAB may prevent grafting of the posterior wall, thus compromising the basic principle of complete revascularization [4].…”

Section: Introductionmentioning

confidence: 99%

“…The Octopus as cardiac stabilization techniques is one of the devices that can immobilize andpresent all sides of the beating heart [5]. This allows off-pump coronary artery bypass grafting (CABG) in patients with 3-vessel disease [3]. Nevertheless, it has to be stated that the rate of incomplete revascularization in the early series of CABG without CPB is higher, and compromises the basic principle of complete revascularization [4].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

Hijazi¹

2010

Rev Bras Cir Cardiovasc

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Section: Length Of Hospital Stay Mortality Rates and Cost Savingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

Hijazi¹

2010

Rev Bras Cir Cardiovasc

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“…Even though this system, created by a group in Stamford University is efficacious, it does not eliminate the deleterious effects inherent to CPB, such as systemic inflammatory response, the release of microbubbles, myocardial depression and the scaring problems caused by hypothermia [24,25]. In the patients of MOHR et al [18] attempts of offpump TECABG were made in eight, but only in four the attempts were successful.…”

Section: Robotic Surgerymentioning

confidence: 99%

Emprego de sistemas robóticos na cirurgia cardiovascular

Sant’Anna

Prates

Sant'Anna

et al. 2004

Rev Bras Cir Cardiovasc

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The development of robotic systems for surgery started in the 1980s, motivated by the US army's requirement of surgical procedures in combat areas with the surgeon in a distant place (telepresence). But the first human application of robotic surgery occurred in a robotic surgery, years later.Cardiac surgeons were attracted by the robotic techniques due to the potential reduction in the invasive character of the procedures. This results in reduced trauma, fast recovery and low cost of surgery. Robotic systems were developed, allowing totally thoracoscopic cardiac surgery for myocardial revascularization and multi-site pacemaker implant in selected cases. Support systems for videothoracoscopic also exist and may give support to internal thoracic artery harvesting, mitral valve reconstruction correction of congenital heart defects. We have used the AESOP ® system, with HERMES ® voice control, to harvest the internal thoracic arteries, trans-thoracic implantation of left ventricular electrodes and to correct congenital heart defects.In spite of scientific enthusiasm relating to robotic surgery, there is no clear evidence of superiority of this technique if compared to conventional procedures in terms of results. The same is true with the cost of the procedures as even if a single robotic surgery is less expensive, the initial investment for a complete robotic system (console, video control, instruments) can only be compensated with many procedures. But there is no doubt that robotic surgery will have a place in the future of surgery, providing telepresence of the surgeon, allowing teaching and training and performing less invasive surgical procedures. Descriptors: Robotics. Cardiac surgical procedures, methods. Surgical procedures, minimally invasive. Resumo

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