Original Research

DOI: 10.4244/EIJ-D-23-00373

Long-term clinical outcomes of robotic-assisted surgical coronary artery revascularisation

Aleksander Dokollari1, MD; Serge Sicouri2, MD; Ozgun Erten2, MD; William A. Gray3, MD; Timothy A. Shapiro3, MD; Frank McGeehin3, MD; Marwan Badri3, MD; Paul Coady3, MD; Eric Gnall3, MD; Mara Caroline3, MD; Amid A. Khan3, MD; Stephanie Kjelstrom4, MS; Georgia Montone4, MS; Basel Ramlawi1,2, MD, FRCSC; Mary Ann Wertan1, RN; Francis P. Sutter1, DO, FACS; Gianluca Torregrossa1,2, MD, MEBCTS, FACOS

Abstract

Background: Patients who are not candidates for traditional coronary artery bypass grafting (CABG) and amenable only for percutaneous coronary intervention (PCI) with stents can receive the “gold standard” left internal thoracic artery (LITA) to left anterior descending artery (LAD) anastomosis through robotic-assisted CABG and PCI to non-LAD coronary targets.

Aims: We aimed to analyse clinical outcomes of robotic-assisted CABG.

Methods: A total of 2,280 consecutive patients who had undergone robotic-assisted CABG between May 2005 and June 2021 were included in our study. Robotic-assisted LITA harvest was followed by LITA-LAD manual anastomosis through a 4 cm left thoracotomy. Hybrid coronary intervention (HCR) consists of stent implantation in a non-LAD coronary artery performed within 7 days after robotic-assisted LITA-LAD. We performed a propensity-adjusted analysis comparison after dividing all robotic-assisted CABG patients into three time periods: 2005-2010, 615 patients; 2011-2016, 904 patients; and 2017-2021, 761 patients.

Results: The mean age increased from 64.5 years in the first time period to 65.8 years in the second time period to 68.1 years in the third (p<0.0001). Operative time was progressively reduced in the...

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Volume 20 Number 1
Jan 1, 2024
Volume 20 Number 1
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