Outcomes after different non-sternotomy approaches to left single-vessel revascularization: a comparative study with up to 10-year follow-up

Sabashnikov, Anton; Patil, Nikhil P.; Weymann, Alexander; Mohite, Prashant N.; Zych, Bartłomiej; Sáez, Diana García; Popov, Aron‐Frederik; Wahlers, Thorsten; Wittwer, Thorsten; Wippermann, Jens; Amrani, Mohamed; Trimlett, Richard; Simon, Andrè; Pepper, John; Bahrami, Toufan

doi:10.1093/ejcts/ezu287

Cited by 15 publications

(14 citation statements)

References 21 publications

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“…One study provided separate data for both the TECAB offpump and robotic MIDCAB groups, and was included for analysis in both groups (10). Eighteen additional studies reported on a mixture of different surgical techniques (18,(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53). A summary of the study selection process is presented in the PRISMA chart in Figure 1, and a summary of study characteristics is presented in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-one studies were excluded from the final analysis due to a mixed dataset for different surgical techniques (42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53) or use of cardiopulmonary bypass (36)(37)(38)(39)(40)(41), or use of an outdated robotic system other than the da Vinci system (18,34,35). Of the patients who were included for statistical analysis in the selected studies on off-pump TECAB, on-pump TECAB and robotic MIDCAB, the mean age ranged from 58 to 67, and 51-88% of patients were male.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review on robotic coronary artery bypass graft surgery

Cao

Indraratna

Doyle

et al. 2016

Ann. Cardiothorac. Surg.

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Background: Robotic-assisted coronary artery bypass graft surgery (CABG) has been performed over the past decade. Despite encouraging results from selected centres, there is a paucity of robust clinical data to establish its clinical safety and efficacy. The present systematic review aimed to identify all relevant clinical data on robotic CABG. The primary endpoint was perioperative mortality, and secondary endpoints included perioperative morbidities, anastomotic complications, and long-term survival.Methods: Electronic searches were performed using three online databases from their dates of inception to 2016. Relevant studies fulfilling the predefined search criteria were categorized according to surgical techniques as (I) totally endoscopic coronary artery bypass without cardiopulmonary bypass (TECAB offpump); (II) TECAB on-pump; and robotic-assisted mammary artery harvesting followed by minimally invasive direct coronary artery bypass (robotic MIDCAB).Results: The present systematic review identified 44 studies that fulfilled the study selection criteria, including nine studies in the TECAB off-pump group and 16 studies in the robotic MIDCAB group.Statistical analysis reported a pooled mortality of 1.7% for the TECAB off-pump group and 1.0% for the robotic MIDCAB group. Intraoperative details such as the number and location of grafts performed, operative times and conversion rates, as well as postoperative secondary endpoints such as morbidities, anastomotic complications and long-term outcomes were also summarized for both techniques.Conclusions: A number of technical, logistic and cost-related issues continue to hinder the popularization of the robotic CABG procedure. Current clinical evidence is limited by a lack of randomized controlled trials, heterogeneous definition of techniques and complications, as well as a lack of robust clinical followup with routine angiography. Nonetheless, the present systematic review reported acceptable perioperative mortality rates for selected patients at specialized centres. These results should be considered as a useful benchmark for future studies, until further data is reported in the form of randomized trials.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A systematic review on robotic coronary artery bypass graft surgery

Cao

Indraratna

Doyle

et al. 2016

Ann. Cardiothorac. Surg.

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“…In consequence, mastering the endoscopic LITA harvest ensures the avoidance of possible coronary steal syndrome [18,19]. Sabashnikov et al [20] reported results of a team experienced in performing minimally invasive surgical revascularization in its various dimensions. They concluded that the endoscopic approach (EACAB) for LITA harvest is free from the disadvantages of longer operation duration observed in robotically assisted direct coronary artery bypass grafting (RADCAB) or higher incidence of angina and shorter freedom from MACEs observed in both MIDCAB and RADCAB groups [20].…”

Section: Discussionmentioning

confidence: 99%

“…Sabashnikov et al [20] reported results of a team experienced in performing minimally invasive surgical revascularization in its various dimensions. They concluded that the endoscopic approach (EACAB) for LITA harvest is free from the disadvantages of longer operation duration observed in robotically assisted direct coronary artery bypass grafting (RADCAB) or higher incidence of angina and shorter freedom from MACEs observed in both MIDCAB and RADCAB groups [20]. This fact clearly demonstrates that both high quality anastomosis and perfect LITA harvest remain essential for satisfactory clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

Short and long-term results of endoscopic atraumatic coronary artery off-pump bypass grafting in patients with left anterior descending artery stenosis

et al. 2021

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“…Among other data, the articles presented CABG results, including robotic acquisition of internal thoracic artery (ITA) [9] and internal mammary artery (IMA) grafts [10], and comparisons of short- and long-term outcomes for various techniques [11, 12]. Results pertaining to MVR procedures were described by Algarni et al [13], while Senay et al [14] assessed the feasibility of procedures in patients with severe rheumatic valve insufficiency.…”

Section: Analysis Of Scientific Reportsmentioning

confidence: 99%

Medical robots in cardiac surgery – application and perspectives

Kroczek

Nawrat

2017

kitp

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Medical robots offer new standards and opportunities for treatment. This paper presents a review of the literature and market information on the current situation and future perspectives for the applications of robots in cardiac surgery. Currently in the United States, only 10% of thoracic surgical procedures are conducted using robots, while globally this value remains below 1%. Cardiac and thoracic surgeons use robotic surgical systems increasingly often. The goal is to perform more than one hundred thousand minimally invasive robotic surgical procedures every year. A surgical robot can be used by surgical teams on a rotational basis. The market of surgical robots used for cardiovascular and lung surgery was worth 72.2 million dollars in 2014 and is anticipated to reach 2.2 billion dollars by 2021. The analysis shows that Poland should have more than 30 surgical robots. Moreover, Polish medical teams are ready for the introduction of several robots into the field of cardiac surgery. We hope that this market will accommodate the Polish Robin Heart robots as well.

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Outcomes after different non-sternotomy approaches to left single-vessel revascularization: a comparative study with up to 10-year follow-up

Cited by 15 publications

References 21 publications

A systematic review on robotic coronary artery bypass graft surgery

A systematic review on robotic coronary artery bypass graft surgery

Short and long-term results of endoscopic atraumatic coronary artery off-pump bypass grafting in patients with left anterior descending artery stenosis

Medical robots in cardiac surgery – application and perspectives

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