Treatment of multiple vessel coronary artery diseaseby robotic bypass surgery on the beating heart and stent placement in distinct hybrid session
10.3760/cma.j.issn.1001-4497.2011.07.006
- VernacularTitle:"机器人非体外循环冠状动脉旁路移植与支架置入""杂交""手术治疗多支冠状动脉病变"
- Author:
Changqing GAO
;
Ming YANG
;
Yang WU
;
Gang WANG
;
Congsong XIAO
;
Jiachun LI
;
Jiali WANG
;
Lixia LI
;
Yue ZHAO
;
Qi ZHOU
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass;
Robotics;
Hybrid;
Stent
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(7):398-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective Summary the first group of robotic bypass surgery on the beating heart and stent placement in distinct hybrid session in China. Methods 163 cases patients accepted selective operation of robotic coronary bypass grafting on the beating heart form April 2007 to January 2011. 12 cases had multi coronary vessels stenosis accepted stent placement after robotic surgery in a hybrid manner. The average age of patients was ( 56. 0 ± 9.74 ) years old. 3 case was female and 9 cases were male. All the patients had a medical history of angina. The coronary arterioangiography showed sever left anterior descend ing or diagonal branch stenosis in all patients. And 4 cases had myocardial infarction history. All the patients had good lung function and had no medical history of pleurisy. Without sternotomy, through 3 ports about 1 cm in left thorax, the left internal mammary artery was obtained and simultaneously single vessel coronary artery bypass grafting through small thoracotomy or totally endoscopic coronary bypass (TECAB) was performed on beating heart. The bridge patency and revascularization was accessed by arterioangiography. Results All cases successfully accepted robotic bypass surgery on the beating heart and stent placement in distinct hybrid session without complication. Conclusion Hybrid coronary artery revascularization enable adequate revascularization of patients with multivessel coronary artery disease without sternotomy and with the advantage of the most durable option.
