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


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...

Sign in to read
the full article

Forgot your password?
No account yet?
Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Volume 20 Number 1
Jan 1, 2024
Volume 20 Number 1
View full issue

Key metrics

On the same subject


10.4244/EIJ-E-23-00062 Jan 1, 2024
Hybrid coronary revascularisation: the best or the worst of both worlds?
Gaudino M and Sandner S

Original Research

10.4244/EIJ-D-23-00375 Jan 1, 2024
Procedural and one-year outcomes of robotic-assisted versus manual percutaneous coronary intervention
Bay B et al


10.4244/EIJ-E-23-00004 Mar 20, 2023
Revascularisation, periprocedural events and survival – and the survival of the randomised controlled trial
Lansky AJ and Ahmad Y

10.4244/EIJV14I4A69 Jul 20, 2018
What is new in the armamentarium of coronary surgeons to compete with PCI?
Gaudino M and Taggart D

10.4244/EIJV15I17A269 Apr 17, 2020
Major infections after bypass surgery and stenting: an overlooked but fatal complication
Harari R and Bangalore S

Clinical research

10.4244/EIJ-D-19-00463 Dec 6, 2019
Graft patency after FFR-guided versus angiography-guided coronary artery bypass grafting: the GRAFFITI trial
Toth GG et al

Short report

10.4244/EIJ-D-20-00170 May 16, 2021
Impact of the CABG SYNTAX score on all-cause death at 10 years: a SYNTAX Extended Survival (SYNTAXES) substudy
Takahashi K et al

Clinical research

10.4244/EIJ-D-22-00642 Apr 3, 2023
Evaluation of the R-One robotic system for percutaneous coronary intervention: the R-EVOLUTION study
Durand E et al
Trending articles

State-of-the-Art Review

10.4244/EIJ-D-21-01034 Jun 3, 2022
Management of in-stent restenosis
Alfonso F et al

Translational research

10.4244/EIJ-D-21-00824 May 15, 2022
Bench test and in vivo evaluation of longitudinal stent deformation during proximal optimisation
Toth GG et al

Expert review

10.4244/EIJ-D-21-00690 May 15, 2022
Crush techniques for percutaneous coronary intervention of bifurcation lesions
Moroni F et al


10.4244/EIJ-D-22-00776 Apr 3, 2023
Computed tomographic angiography in coronary artery disease
Serruys PW et al


10.4244/EIJ-E-22-00007 May 15, 2022
TAVI at 20: how a crazy idea led to a clinical revolution
Eltchaninoff H et al

The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

Impact factor: 6.2
2022 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2023)
Online ISSN 1969-6213 - Print ISSN 1774-024X
© 2005-2024 Europa Group - All rights reserved