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Totally Endoscopic Coronary Bypass Surgery: Robotic Off-Pump (TECAB)

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Atlas of Robotic Cardiac Surgery

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Abstract

Coronary artery bypass grafting (CABG) via a median sternotomy has been the gold standard for surgical coronary revascularization. In the mid 1990s the MIDCAB (Minimally Invasive Direct Coronary Bypass) provided the first less invasive approach to revascularize the anterior left ventricular wall. With introduction of the da Vinci™ robotic system, surgeons could harvest the LITA (left internal thoracic artery) and/or RITA (right internal thoracic artery) and perform a distal coronary anastomosis endoscopically on both beating and arrested hearts. Soon robotic ITA-LAD grafting, combined with catheter-based coronary stenting (hybrid revascularization), arose as a potential standard of care. Herein, the techniques related to off-pump robotic coronary bypass grafting are detailed.

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Authors and Affiliations

  1. Department of Robotic Surgery, International Centre for Robotic Surgery, B 2/5, Vasant Vihar, New Delhi, Delhi, 110057, India

    Sudhir P. Srivastava MD

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  1. Sudhir P. Srivastava MD
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Correspondence to Sudhir P. Srivastava MD .

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Editors and Affiliations

  1. East Carolina Heart Institute, Greenville, North Carolina, USA

    W. Randolph Chitwood, Jr.

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© 2014 Springer-Verlag London

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Srivastava, S.P. (2014). Totally Endoscopic Coronary Bypass Surgery: Robotic Off-Pump (TECAB). In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_8

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  • DOI: https://doi.org/10.1007/978-1-4471-6332-9_8

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6331-2

  • Online ISBN: 978-1-4471-6332-9

  • eBook Packages: MedicineMedicine (R0)

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