1
|
Lo CY, Yu CL, Chang Y, Wei HJ. Long-term results of robotic-assisted coronary artery bypass grafting with composite arterial grafts for multiple coronary anastomoses: 10-year experience. J Robot Surg 2023; 17:63-71. [PMID: 35316487 DOI: 10.1007/s11701-022-01391-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 02/14/2022] [Indexed: 11/29/2022]
Abstract
Currently, robotic-assisted coronary artery bypass grafting (RACABG) is a feasible choice for myocardial revascularization. Acceptable outcomes have been reported for RACABG with single target vessels; however, the long-term benefits of multivessel RACABG with composite arterial grafts have rarely been studied. Therefore, our study investigated the long-term results of multivessel RACABG with composite arterial grafts by reviewing the clinical data of patients from Taichung Veterans General Hospital. From December 2005 to June 2015, 562 patients underwent robotic-assisted robotic minimally invasive direct coronary bypass (MIDCAB) at Taichung Veterans General Hospital. Two major composite arterial graft configurations (i.e., inverted T-graft and Y-graft) were used. Data regarding the short-term and long-term outcomes of robotic-assisted MIDCAB were obtained from the medical records. For data regarding long-term outcomes of the patients not followed up at our institution, telephone interviews were conducted in June 2019. The in-hospital mortality rate and complication rate were 2.5% and 17.6%, respectively. We completed the follow-up for 486 patients (86.4%), and postoperative coronary imaging-based evaluation performed for 157 patients. The 5-year and 10-year survival rates were 82.7% and 65.2%, respectively. The 5-year and 10-year major adverse cardiac and cerebral events-free survival rates were 86.9% and 70.9%, respectively. The 5-year patency rate of various coronary anastomoses was 85.1-100%. Our study revealed that multivessel robotic-assisted MIDCAB with composite arterial grafts provided acceptable long-term outcomes, irrespective of the composite graft configuration.
Collapse
Affiliation(s)
- Chung-Yu Lo
- Department of Cardiovascular Surgery, Cardiovascular Center, Taipei Tzu Chi Hospital, New Taipei City, Taiwan, Republic of China.,College of Medicine, Tzu Chi University, Hualien City, Taiwan, Republic of China
| | - Chu-Leng Yu
- Department of Cardiovascular Surgery, Cardiovascular Center, Taichung Veterans General Hospital, No. 1650, Section 4, Taiwan Avenue, Xitun District, Taizhong, 40705, Taiwan, Republic of China.,College of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China
| | - Yen Chang
- Department of Cardiovascular Surgery, Cardiovascular Center, Taipei Tzu Chi Hospital, New Taipei City, Taiwan, Republic of China.,College of Medicine, Tzu Chi University, Hualien City, Taiwan, Republic of China
| | - Hao-Ji Wei
- Department of Cardiovascular Surgery, Cardiovascular Center, Taichung Veterans General Hospital, No. 1650, Section 4, Taiwan Avenue, Xitun District, Taizhong, 40705, Taiwan, Republic of China. .,College of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China.
| |
Collapse
|
2
|
Y vein? Y not? The underdog of the composite arterial world. J Thorac Cardiovasc Surg 2015; 150:1195-7. [PMID: 26383004 DOI: 10.1016/j.jtcvs.2015.08.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Accepted: 08/18/2015] [Indexed: 11/24/2022]
|