Initial United States clinical trial of robotically assisted endoscopic coronary artery bypass grafting

Ralph J. Damiano, Walter J. Ehrman, Christopher T. Ducko, Harold A. Tabaie, Edward Stephenson, Charles P. Kingsley, Charles Chambers

Research output: Contribution to journalArticle

91 Scopus citations

Abstract

Objectives: With traditional instruments, endoscopic coronary artery bypass grafting has not been possible. This study was designed to determine the clinical feasibility of using a robotically assisted microsurgical system to create endoscopic coronary anastomoses. Methods and results: Ten patients underwent endoscopic coronary artery bypass grafting of the left internal thoracic artery to the left anterior descending artery. Subxiphoid endoscopic ports (2 for instruments, 1 for a camera) were placed, and a robotic system was used to perform the left internal thoracic artery-left anterior descending artery bypass graft. Conventional techniques were used to perform the other grafts. Blood flow through the left internal thoracic artery graft was measured in the operating room and was adequate in 8 of 10 patients. The 2 inadequate grafts were revised successfully by hand. Six weeks after the operation, selective coronary angiography demonstrated a graft patency of 100% (8/8). There were no technical failures of the robotic system. The only postoperative complication was mediastinal hemorrhage in 1 patient. Conclusions: This pilot study demonstrates the feasibility of robotically assisted endoscopic coronary artery bypass grafting.

Original languageEnglish (US)
Pages (from-to)77-82
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume119
Issue number1
DOIs
StatePublished - Jan 1 2000

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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