Hybrid Coronary Revascularization by Endoscopic Robotic Coronary Artery Bypass Grafting on Beating Heart and Stent Placement

被引:79
作者
Gao, Changqing
Yang, Ming
Wu, Yang
Wang, Gang
Xiao, Cangsong
Liu, Hongbin
Lu, Caiyi
机构
[1] Peoples Liberat Army Gen Hosp, Dept Cardiol, PLA Inst Cardiac Surg, Minimally Invas & Robot Cardiac Surg Ctr, Beijing 100853, Peoples R China
[2] Peoples Liberat Army Gen Hosp, PLA Inst Cardiac Surg, Inst Geriatr Cardiol, Minimally Invas & Robot Cardiac Surg Ctr, Beijing 100853, Peoples R China
关键词
FOLLOW-UP; ANGIOPLASTY; COMBINATION; DISEASE; SURGERY;
D O I
10.1016/j.athoracsur.2008.12.017
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Background. Hybrid revascularization has been used in minimally invasive coronary artery bypass grafting and percutaneous coronary intervention for multivessel coronary artery disease (CAD). Very few endoscopic robotic coronary bypasses on the beating heart have been reported. The aim of this study was to assess hybrid revascularization by endoscopic robotic coronary artery bypass on the beating heart with percutaneous coronary intervention in a staged approach. Methods. Forty-two patients underwent selective robotic coronary artery bypass grafting on the beating heart. Ten patients with right coronary artery or circumflex coronary stenosis underwent stent placement after robotic left internal mammary artery (LIMA) anastomosis to the left anterior descending (LAD) artery surgery in a separate session. The average age of the patients was 62.3 +/- 12.1 years old. Coronary arteriography showed significant stenosis or total occlusion of the LAD in all patients and significant stenosis in the right coronary or circumflex arteries. The LIMA was harvested by the da Vinci S robotic surgical system (Intuitive Surgical, Sunnyvale, CA) and manually anastomosed to the LAD off-pump in 6 patients, and by totally endoscopic bypass on the beating heart in 4 patients. Percutaneous coronary intervention with placement of a stent to stenotic nonLAD targets was performed 4 to 5 days after operation. All LIMA-LAD grafts were assessed angiographically. Results. All 10 patients had off-pump robotic bypass surgery and stent placement using a staged approach without complications. Conclusions. Our preliminary study shows that hybrid coronary revascularization by endoscopic robotic coronary artery bypass grafting on a beating heart and subsequent stent placement is a feasible integrated approach for patients with multivessel CAD.
引用
收藏
页码:737 / 741
页数:5
相关论文
共 21 条
[1]
Integrated left small thoracotomy and angioplasty for multivessel coronary artery revascularisation [J].
Angelini, GD ;
Wilde, P ;
Salerno, TA ;
Bosco, G ;
Calafiore, AM .
LANCET, 1996, 347 (9003) :757-758
[2]
Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting [J].
Argenziano, M ;
Katz, M ;
Bonatti, J ;
Srivastava, S ;
Murphy, D ;
Poirier, R ;
Loulmet, D ;
Siwek, L ;
Kreaden, U ;
Ligon, D .
ANNALS OF THORACIC SURGERY, 2006, 81 (05) :1666-1675
[3]
How to improve performance of robotic totally endoscopic coronary artery bypass grafting [J].
Bonatti, Johannes ;
Schachner, Thomas ;
Bonaros, Nikolaos ;
Oehlinger, Armin ;
Ruetzler, Elisabeth ;
Friedrich, Guy ;
Feuchtner, Gudrun ;
Laufer, Guenther .
AMERICAN JOURNAL OF SURGERY, 2008, 195 (05) :711-716
[4]
Simultaneous hybrid COronary revascularization using totally endoscopic left internal Mammary artery Bypass grafting and placement of rapamycIN eluting stents in the SAme intervenTIONal session -: The COMBINATION pilot study [J].
Bonatti, Johannes ;
Schachner, Thomas ;
Bonaros, Nikolaos ;
Jonetzko, Patrycja ;
Oehlinger, Armin ;
Ruetzler, Elisabeth ;
Kolbitsch, Christian ;
Feuchtner, Gudrun ;
Laufer, Guenther ;
Pachinger, Otmar ;
Friedrich, Guy .
CARDIOLOGY, 2008, 110 (02) :92-95
[5]
Coronary bypass surgery with internal-thoracic-artery grafts - Effects on survival over a 15-year period [J].
Cameron, A ;
Davis, KB ;
Green, G ;
Schaff, HV .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (04) :216-219
[6]
Combination of minimally invasive coronary bypass and percutaneous transluminal coronary angioplasty in the treatment of double-vessel coronary disease:: Two-year follow-up of a new hybrid procedure compared with "on-pump" double bypass grafting [J].
de Cannière, D ;
Jansens, JL ;
Goldschmidt-Clermont, P ;
Barvais, L ;
Decroly, P ;
Stoupel, E .
AMERICAN HEART JOURNAL, 2001, 142 (04) :563-570
[7]
A randomized comparison of radial-artery and saphenous-vein coronary bypass grafts [J].
Desai, ND ;
Cohen, EA ;
Naylor, CD ;
Fremes, SE .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (22) :2302-2309
[8]
Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: Report of forty-five cases [J].
Dogan, S ;
Aybek, T ;
Andressen, E ;
Byhahn, C ;
Mierdl, S ;
Westphal, K ;
Matheis, G ;
Moritz, A ;
Wimmer-Greinecker, G .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (06) :1125-1131
[9]
Computer-enhanced totally endoscopic sequential arterial coronary artery bypass [J].
Dogan, S ;
Aybek, T ;
Westphal, K ;
Mierdl, S ;
Moritz, A ;
Wimmer-Greinecker, G .
ANNALS OF THORACIC SURGERY, 2001, 72 (02) :610-611
[10]
FOLK V, 2000, EUR J CARDIOVASC SUR, V17, P38