ROBOTIC CABG by Johannes Bonatti, MD FETCS Chief of Cardiothoracic Surgery
4
n=541
5
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%)
8
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%)
9
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)
12
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
15