机器人辅助冠状动脉旁路移植术移植血管通畅性的血管造影评估：8 年随访。

Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up.

机构信息

Cardiovascular Surgery, Florence Nightingale Hospital, Istanbul, Sisli, Turkey.

出版信息

Int J Med Robot. 2014 Mar;10(1):121-7. doi: 10.1002/rcs.1553. Epub 2013 Dec 2.

DOI:10.1002/rcs.1553

PMID:24293289

Abstract

BACKGROUND

Robotic telemanipulation systems have emerged as facilitating tools that enhance minimally invasive cardiac surgery.The purpose of this study was to evaluate graft patency by a combination of invasive and non-invasive coronary angiography methods in robotic-assisted coronary artery surgery(CABG) for optimal quality control.

METHODS

Between April 2004 and February 2012, patients who had robotic-assisted CABG were called to have cardiac catheterization or multislice computed tomographic angiography to evaluate graft patency.

RESULTS

One hundred patients out of a total 250 cases were followed for graft patency for a mean period of 60.3 ± 23.8 (range 12-94) months. Mean operative time and left internal mammary artery harvest time was 165.96 ± 19.5 and 41.74 ± 5.9 (range 30-55) min. Postoperative graft patency rate was 94% and freedom from target vessel re-interventions was 98%.

CONCLUSION

Robotic-assisted CABG can be accomplished with low morbidity, mortality and re-intervention rates. It is a safe procedure in selected patients and produces excellent mid-term graft patency.

摘要

背景

机器人远程操作系统已成为促进微创心脏手术的工具。本研究的目的是通过结合侵入性和非侵入性冠状动脉造影方法评估机器人辅助冠状动脉旁路移植术（CABG）中的桥血管通畅情况，以实现最佳的质量控制。

方法

在 2004 年 4 月至 2012 年 2 月期间，对接受机器人辅助 CABG 的患者进行心脏导管检查或多层计算机断层血管造影术，以评估桥血管通畅情况。

结果

在总共 250 例患者中，有 100 例患者接受了随访，以评估桥血管通畅情况，平均随访时间为 60.3 ± 23.8（范围 12-94）个月。平均手术时间和左内乳动脉采集时间分别为 165.96 ± 19.5 和 41.74 ± 5.9（范围 30-55）分钟。术后桥血管通畅率为 94%，靶血管再介入率为 98%。