SHA24/068002

ROBOTIC CABG

by Johannes Bonatti, MD FETCS Chief of Cardiothoracic Surgery

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n=541

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6

AXCOR AXCOR

Y RIMA

Dg LIMA LAD

WORLD’S FIRST TOTALLY ENDOSCOPIC QUADRUPLE BYPASS – ARRESTED HEART

TECAB 6/2001 - 4/2012 (n=601)

TECAB x 1

368

(61.2%)

TECAB x 2

199

(33.1%)

TECAB x 3

31

(5.2%)

TECAB x 4

3

(0.5%)

Endo-Cardioplegia 468 (77.4%) Beating Heart 133 (22.1%)

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TECAB 6/2001 - 4/2012 (n=601)

Ventilation time (h)

9

(0-704)

ICU stay (h)

23 (11-1048)

Hospital stay (d)

6

(2-54)

Mortality

7

(1.2%)

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TECAB x 2 3 Weeks Postop

Cumulative Freedom from Graft reintervention (PCI or CABG) 96.5% (5 Years)

Graft failure rate 3.5% (5 years)

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TECAB 2001 – 2012 n = 601

BOYLAN 1994 97% LIMA LAD CCF

ARTS 92% SYNTAX 89%

TECAB 2001 – 2012 n = 601

SYNTAX CABG 80%

ARTS CABG 78% SYNTAX CABG 73.% GREENBAUM LIMA LAD CONV CABG 79%

REDUCED SURGICAL TRAUMA PRESERVATION OF INTEGRITY – LESS DESTRUCTIVE SURGERY USE DOUBLE IMA IN RISK GROUPS AVOID DEEP THORACIC WOUND INFECTION

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