HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ralph J. Damiano, Jr Walter J. Ehrman Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Damiano, R. J. Articles by Chambers, C. E. Search for Related Content PubMed PubMed Citation Articles by Damiano, R. J., Jr Articles by Chambers, C. E.

J Thorac Cardiovasc Surg 2000;119:77-082
© 2000 Mosby, Inc.

SURGERY FOR ACQUIRED CARDIOVASCULAR DISEASE

INITIAL UNITED STATES CLINICAL TRIAL OF ROBOTICALLY ASSISTED ENDOSCOPIC CORONARY ARTERY BYPASS GRAFTING

From the Division of Cardiothoracic Surgery,^a The Milton S. Hershey Medical Center, Hershey, Pa; Cardiothoracic Surgeon, Sarasota Memorial Hospital,^b Sarasota, Fla; and Department of Anesthesia^c and Division of Cardiology,^d The Milton S. Hershey Medical Center, Hershey, Pa.

Address for reprints: Ralph J. Damiano, Jr, MD, Chief, Division of Cardiothoracic Surgery, MC H165, The Milton S. Hershey Medical Center, PO Box 850, 500 University Dr, Hershey, PA 17033 (E-mail: rdamiano{at}psghs.edu).

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.

This article has been cited by other articles:

				V. Falk and F. W. Mohr Minimally Invasive Myocardial Revascularization Card. Surg. Adult, January 1, 2008; 3(2008): 697 - 710. [Full Text]

				R. J. Damiano Jr Robotics in cardiac surgery: The emperor's new clothes J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 559 - 561. [Full Text] [PDF]

				D. de Canniere The seven stages of an idea J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 562 - 564. [Full Text] [PDF]

				S. Mierdl, C. Byhahn, V. Lischke, T. Aybek, G. Wimmer-Greinecker, S. Dogan, S. Viehmeyer, P. Kessler, and K. Westphal Segmental Myocardial Wall Motion During Minimally Invasive Coronary Artery Bypass Grafting Using Open and Endoscopic Surgical Techniques Anesth. Analg., February 1, 2005; 100(2): 306 - 314. [Abstract] [Full Text] [PDF]

				J.W. R. Bolton and J. E. Connally Results of a phase one study on robotically assisted myocardial revascularization on the beating heart Ann. Thorac. Surg., July 1, 2004; 78(1): 154 - 158. [Abstract] [Full Text] [PDF]

				S. Jacobs, D. Holzhey, B. B. Kiaii, J. F. Onnasch, T. Walther, F. W. Mohr, and V. Falk Limitations for manual and telemanipulator-assisted motion tracking--implications for endoscopic beating-heart surgery Ann. Thorac. Surg., December 1, 2003; 76(6): 2029 - 2035. [Abstract] [Full Text] [PDF]

				J. A. Morgan, M. E. Ginsburg, J. R. Sonett, D. L.S. Morales, T. Kohmoto, L. A. Gorenstein, C. R. Smith, and M. Argenziano Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology Eur. J. Cardiothorac. Surg., June 1, 2003; 23(6): 883 - 887. [Abstract] [Full Text] [PDF]

				R. J. Damiano Jr Endoscopic coronary artery bypass grafting--the first steps on a long journey J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S64 - 65. [Full Text] [PDF]

				S. Mierdl, C. Byhahn, S. Dogan, T. Aybek, G. Wimmer-Greinecker, P. Kessler, D. Meininger, and K. Westphal Segmental Wall Motion Abnormalities During Telerobotic Totally Endoscopic Coronary Artery Bypass Grafting Anesth. Analg., April 1, 2002; 94(4): 774 - 780. [Abstract] [Full Text] [PDF]

				A. W Susilo and A. P Schulz Totally Robotic Technique in Multivessel Coronary Disease -- Is it Possible? Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 92 - 94. [Abstract] [Full Text] [PDF]

				M. Murtra The adventure of cardiac surgery Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 167 - 180. [Full Text] [PDF]

				U. Kappert, R. Cichon, J. Schneider, V. Gulielmos, T. Ahmadzade, J. Nicolai, S.-M. Tugtekin, and S. Schueler Technique of closed chest coronary artery surgery on the beating heart Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 765 - 769. [Abstract] [Full Text] [PDF]

				R. J. Damiano Jr, H. A. Tabaie, M. J. Mack, J. R. Edgerton, C. Mullangi, W. P. Graper, and S. M. Prasad Initial prospective multicenter clinical trial of robotically-assisted coronary artery bypass grafting Ann. Thorac. Surg., October 1, 2001; 72(4): 1263 - 1269. [Abstract] [Full Text] [PDF]

				D. Lomanto, W.-K. Cheah, J. B. So, and P. M. Goh Robotically Assisted Laparoscopic Cholecystectomy: A Pilot Study Arch Surg, October 1, 2001; 136(10): 1106 - 1108. [Abstract] [Full Text] [PDF]

				U. Kappert, J. Schneider, R. Cichon, V. Gulielmos, S.-M. Tugtekin, J. Nicolai, K. Matschke, and S. Schueler Development of Robotic Enhanced Endoscopic Surgery for the Treatment of Coronary Artery Disease Circulation, September 18, 2001; 104(90001): I-102 - 107. [Abstract] [Full Text] [PDF]

				S. Dogan, T. Aybek, K. Westphal, S. Mierdl, A. Moritz, and G. Wimmer-Greinecker Computer-enhanced totally endoscopic sequential arterial coronary artery bypass Ann. Thorac. Surg., August 1, 2001; 72(2): 610 - 611. [Abstract] [Full Text] [PDF]

				F. W. Mohr, V. Falk, A. Diegeler, T. Walther, J. F. Gummert, J. Bucerius, S. Jacobs, and R. Autschbach Computer-enhanced ""robotic"" cardiac surgery: Experience in 148 patients J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 842 - 853. [Abstract] [Full Text] [PDF]

				R. J. Damiano Jr Editorial: Endoscopic coronary artery bypass grafting--The first steps on a long journey J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 806 - 807. [Full Text] [PDF]

				W. D. Boyd, R. Rayman, N. D. Desai, A. H. Menkis, W. Dobkowski, S. Ganapathy, B. Kiaii, G. Jablonsky, F. N. McKenzie, and R. J. Novick Closed-chest coronary artery bypass grafting on the beating heart with the use of a computer-enhanced surgical robotic system J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 807 - 809. [Full Text] [PDF]