Robotic totally endoscopic coronary artery bypass grafting: current status and future prospects.

Robotic totally endoscopic coronary artery bypass grafting: current status and future prospects. Expert Rev Med Devices. 2019 Dec 12;: Authors: Bonatti J, Wallner S, Winkler B, Grabenwoeger M Abstract Introduction: Totally endoscopic coronary artery bypass grafting (TECAB) can only be performed in a reproducible manner using robotic technology. This operation has been developed for more than 20 years seeing three generations of surgical robots. TECAB can be carried out beating heart but also on the arrested heart. Single and multiple grafts can be placed and TECAB can be combined with percutaneous coronary intervention in hybrid procedures.Areas covered: This review outlines indications for the procedure, the surgical technique, and the postoperative care. Intra- and postoperative results as available in the literature are reported. Further areas focus on the technological development, training methods, learning curves as well as on cost. Finally, we give an outlook on the potential future of this operation.Expert opinion: Robotic TECAB represents a complex, sophisticated but safe and over the years grown procedure. Even though results seem to be in line with conventional coronary surgery worldwide adoption still has been slow probably due to procedure times, costs and learning curves. Main advantages of TECAB are minimized surgical trauma and subsequent reduction of postoperative healing time. With the current introduction of new robotic devices, a new e...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research

Related Links:

Conclusions The NovaCross met both the primary safety endpoint and the primary efficacy endpoint. We, therefore, conclude that the device is well tolerated, effective, and could be easily adopted by interventional cardiologists.
Source: Coronary Artery Disease - Category: Cardiology Tags: PCI Source Type: research
PMID: 33017210 [PubMed - as supplied by publisher]
Source: Circulation - Category: Cardiology Authors: Tags: Circulation Source Type: research
Conclusions. HMR was not superior with respect to MACCE compared with CABG and PCI. It may, however, represent a safe alternative to conventional revascularization treatment considering the specific procedure-associated morbidity. PMID: 32998590 [PubMed - as supplied by publisher]
Source: Scandinavian Cardiovascular Journal - Category: Cardiology Tags: Scand Cardiovasc J Source Type: research
CONCLUSIONS: Compared with native coronary PCI, bypass graft PCI was significantly associated with higher incidence of MACE at 1-year and this was mainly driven by MI and revascularization. PMID: 33001421 [PubMed - as supplied by publisher]
Source: Cardiology Journal - Category: Cardiology Authors: Tags: Cardiol J Source Type: research
A 57-year-old Japanese male with past medical history of  coronary artery disease, coronary artery bypass graft, percutaneous coronary intervention with known in-stent-restenosis, diabetes mellitus, and tobacco abuse presented to the emergency department with left sided chest pressure that woke him from sleep. The pressure was constant, non-radiating, an d associated with shortness of breath. EKG displayed ST segment elevation in the inferior and anterior leads (Figure, A). Coronary angiography revealed patent grafts and severe spasm involving the proximal and middle segments of the right coronary artery (B).
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communications to the Editor Source Type: research
Journal of Cardiac Surgery, Volume 35, Issue 10, Page 2467-2468, October 2020.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: INVITED COMMENTARY Source Type: research
We aimed to compare the outcomes of combined surgical aortic valve replacement (SAVR) with coronary artery bypass grafting (CABG) to concurrent transcatheter aortic valve replacement (TAVR) with percutaneous coronary intervention (PCI) in a large U.S. population sample. The National Inpatient Sample (NIS) was queried for all patients diagnosed with aortic valve stenosis who underwent SAVR with CABG or TAVR with PCI during the years 2016-2017. Study outcomes included all-cause in-hospital mortality, acute stroke, pacemaker insertion, vascular complications, major bleeding, acute kidney injury, sepsis, non-home discharge, le...
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
ek Chew There is little up-to-date evidence about changes in quality of life following treatment for acute coronary syndrome (ACS) patients. The main aim of this review was to assess the changes in QoL in ACS patients after treatment. We undertook a systematic review and meta-analysis of quantitative studies. The search included studies that described the change of QoL of ACS patients after receiving treatment options such as percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG) and medical therapy (MT). We synthesized findings using content analysis and pooled the estimates using meta-analys...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Review Source Type: research
Gaudino and Brophy1 should be congratulated on providing clarity into the role of percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG) surgery in patients with left main (LM) disease. The authors have performed a solid review into the evidence behind the best treatment for patients with LM disease. Their main message is that LM disease should be considered as part of coronary artery disease as a whole and not an independent entity. There are a paucity of data supporting long-term clinical equipoise between PCI and bypass surgery (CABG).
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Commentary Source Type: research
Abstract Pathological neointimal growth can develop in patients as a result of vascular injury following percutaneous coronary intervention and coronary artery bypass grafting using autologous saphenous vein, leading to arterial or vein graft re-occlusion. Neointimal formation driven by intimal hyperplasia occurs as a result of a complex interplay between molecular and cellular processes involving different cell types including endothelial cells, vascular smooth muscle cells and various inflammatory cells. Therefore, understanding the intercellular communication mechanisms underlying this process remains of fundam...
Source: Cellular Signalling - Category: Cytology Authors: Tags: Cell Signal Source Type: research
More News: Angioplasty | Cardiology | Coronary Angioplasty | Coronary Artery Bypass Graft | Heart | Learning | Medical Devices | Percutaneous Coronary Intervention | Training | Universities & Medical Training