Abstract
An alternative strategy to either surgical or percutaneous coronary revascularization is a hybrid approach with robotic grafting of the internal thoracic artery to the left anterior descending coronary artery, either preceded or followed by percutaneous stenting of other diseased vessels. Robotic coronary surgery can be done either using arrested-heart or off-pump coronary stabilization methods. Hybrid operating/catheterization suites now are being used to perform simultaneous procedures: however, there still are challenges when using this approach. This chapter not only describes techniques for performing successful hybrid coronary revascularization but also delineates potential problems and solutions.
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References
Alexander JH, Ferguson Jr TB, Joseph DM, Mack MJ, Wolf RK, Gibson CM, Gennevois D, Lorenz TJ, Harrington RA, Peterson ED, Lee KL, Califf RM, Kouchoukos NT; PREVENT IV Investigators. The Project of Ex-vivo Vein graft Engineering via Transfection IV (PREVENT IV) trial: study rationale, design, and baseline patient characteristics. Am Heart J. 2005;150(4):643–9.
Widimsky P, Straka Z, Stros P, Jirasek K, Dvorak J, Votava J, et al. One year coronary bypass graft patency: a randomized comparison between off-pump and on-pump surgery angiographic results of the PRAGUE-4 trial. Circulation. 2004;110:3418–24.
Serruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, Ståhle E, Feldman TE, van den Brand M, Bass EJ, Van Dyck N, Leadley K, Dawkins KD, Mohr FW; SYNTAX Investigators. Percutaneous coronary intervention versus coronary artery bypass grafting for severe coronary artery disease. N Engl J Med. 2009;360:961–72.
James SK, Stenestrand U, Lindbäck J, Carlsson J, Scherstén F, Nilsson T, et al. Long term safety and efficacy of drug eluting versus bare metal stents in Sweden. N Engl J Med. 2009;360(19):1933–45.
Douglas PS, Brennan JM, Anstrom KJ, Sedrakyan A, Eisenstein EL, Haque G, et al. Clinical effectiveness of coronary stents in elderly persons: results from 262,700 medicare patients in the American College of Cardiology National Cardiovascular Data Registry. J Am Coll Cardiol. 2009;53(18):1629–41.
Argenziano M, Katz M, Bonatti J, Srivastava S, Murphy D, Poirier R, Loulmet D, Siwek L, Kreaden U, Ligon D; TECAB Trial Investigators. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg. 2006;81:1666–75.
Katz MR, Bonatti J. Totally endoscopic coronary artery bypass grafting on the arrested heart. Heart Surg Forum. 2007;10(4):E338–42.
Katz MR, Van Praet F, de Canniere D, Murphy D, Siwek L, Seshadri-Kreaden U, et al. Integrated coronary revascularization. Percutaneous coronary intervention plus robotic totally endoscopic coronary artery bypass. Circulation. 2006;114:473–6.
Holzhey DM, Jacobs S, Mochalski M, Merk D, Walther T, Mohr FW, et al. Minimally invasive hybrid coronary artery revascularization. Ann Thorac Surg. 2008;86:1856–60.
Kiaii B, McClure RS, Stewart P, Rayman R, Swinamer SA, Suematsu Y, et al. Simultaneous integrated coronary artery revascularization with long term angiographic follow up. J Thorac Cardiovasc Surg. 2008;136:702–8.
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© 2014 Springer-Verlag London
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Katz, M.R. (2014). Hybrid Robotic Coronary Surgery. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_11
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DOI: https://doi.org/10.1007/978-1-4471-6332-9_11
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