Robotically Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass Grafting With the Use of Bilateral Internal Thoracic Arteries

Nishida, Satoru; Yasuda, Tamotsu; Watanabe, Go; Kikuchi, Yujiro; Shintani, Yoshiko; Ito, Shigeki; Tabata, Shigeki; Kawachi, Kenji

doi:10.1253/circj.71.1496

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Since then, several reports have been published concerning the utility of robotic ITA harvesting procedures, including robotic BITA harvesting and robotic coronary artery anastomoses. 15 Furthermore, a case report has been published of robotic BITA harvesting using the subxiphoid approach. 16 With the advent of robotic assistance, the time required for BITA harvesting has been significantly reduced.…”

Section: Discussionmentioning

confidence: 99%

Harvesting bilateral internal thoracic arteries using a novel subxiphoid approach versus the conventional lateral thoracic approach—results of an experimental study

Watanabe

Ishikawa

Ohtake

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Harvesting bilateral internal thoracic arteries using a novel subxiphoid approach versus the conventional lateral thoracic approach—results of an experimental study

Watanabe

Ishikawa

Ohtake

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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“…The second step was the robotically assisted multivessel MIDCAB with the use of bilateral internal thoracic arteries that we previously reported. 4 The third step was the beatingheart single-vessel TECAB described in this report. We believe that beating-heart TECAB can be extended to more complex revascularization.…”

Section: Discussionmentioning

confidence: 99%

“…2 We recently introduced the da Vinci surgical system (Intuitive Surgical, Mountain View, CA, USA), which is a less invasive surgical technique we have been developing since the 1990s. [3][4][5] We applied TECAB to an "offpump" beating-heart setting because TECAB should be proposed as a less invasive alternative to off-pump coronary artery bypass grafting (OPCAB) and minimally invasive direct coronary artery bypass grafting (MIDCAB), two "off-pump" procedures favored today by many surgeons. 6,7 We herein describe our initial clinical experience with beating-heart TECAB without the use of cardiopulmonary bypass.…”

Section: Introductionmentioning

confidence: 99%

Beating-heart totally endoscopic coronary artery bypass grafting: Report of a case

et al. 2009

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This case report presents beating-heart totally endoscopic coronary artery bypass grafting (TECAB) for single-vessel coronary artery disease. A 72-year-old man with isolated left anterior descending (LAD) coronary artery disease was considered eligible for TECAB. Left internal thoracic artery (LITA) mobilization and subsequent off-pump revascularization applying the LITA to the LAD in a closed chest environment was performed using the da Vinci surgical system (Intuitive Surgical, Mountain View, CA, USA). The LITA was first harvested completely in a totally skeletonized fashion through three incisions 1-2 cm long in the left thoracic wall. The LAD was immobilized with the aid of a heart stabilizer. The LITA was then anastomosed to the LAD with 10 interrupted sutures of a Nitinol self-closing S15 U-clip device (Medtronic, Minneapolis, MN, USA) on the beating heart without the use of cardiopulmonary bypass. The time acquired to perform anastomosis was 20 min, and the total operative time was 5 h 34 min. The postoperative course was uneventful and the patient was discharged 5 days after the operation. Beating-heart TECAB was successfully performed for this patient with single-vessel LAD disease. This approach may be an evolutionary step toward beating-heart multivessel TECAB.

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“…However, within the last five years, robotic surgical systems have been developed which enhance the surgeon's access and allow precise harvesting of the entire length of the internal mammary arteries (Bonatti et al, 2005;Turner Jr and Sloan, 2006;Nishida et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery: fatal complication or medical error?

Viel

Balmaceda²,

Sperhake³

2009

Med Sci Law

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Minimally invasive direct coronary artery bypass (MIDCAB) is performed through a left anterior mini-thoracotomy without the use of a cardiopulmonary bypass and offers greater potential for more rapid recovery, reduced pain and a decreased need for blood transfusion than conventional coronary artery bypass grafting. Few major complications of the MIDCAB procedure have been reported in the literature since the first intervention was performed in 1995, but the most serious one is avulsion of the left internal mammary artery (LIMA) graft near the site of anastomosis with the left anterior descending coronary artery. Forensic issues regarding the role of the surgeon in causing this life-threatening emergency condition have not been discussed. We report here the case of a 48-year-old man who died 18 days after a MIDCAB of massive thoracic bleeding due to the avulsion of the LIMA graft. We discuss the probable etiopathogenesis of this fatal complication from a forensic point of view.

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Robotically Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass Grafting With the Use of Bilateral Internal Thoracic Arteries

Cited by 5 publications

References 6 publications

Harvesting bilateral internal thoracic arteries using a novel subxiphoid approach versus the conventional lateral thoracic approach—results of an experimental study

Harvesting bilateral internal thoracic arteries using a novel subxiphoid approach versus the conventional lateral thoracic approach—results of an experimental study

Beating-heart totally endoscopic coronary artery bypass grafting: Report of a case

Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery: fatal complication or medical error?

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