Robotic Assisted Minimally Invasive Coronary Revascularisation: Midterm Results

ARSLANHAN G., Özcan Z. S., SENAY S., Baştopçu M., Karaağaç A., KOÇYİĞİT M., ...More

International Journal of Medical Robotics and Computer Assisted Surgery, vol.21, no.3, 2025 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 3
  • Publication Date: 2025
  • Doi Number: 10.1002/rcs.70071
  • Journal Name: International Journal of Medical Robotics and Computer Assisted Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, Communication Abstracts, EMBASE, MEDLINE, Metadex, Civil Engineering Abstracts
  • Keywords: computed tomography guidance, coronary bypass surgery, coronary revascularisation, minimally invasive, robot-assisted, robotic cardiac surgery
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Background: Robotic assistance has many advantages in minimally invasive coronary bypass surgery, such as the harvest of a longer portion of the LIMA in addition to the avoidance of sternotomy, thus offering a less invasive approach for multivessel revascularisation. We present the midterm clinical outcomes of robotic-assisted minimally invasive coronary bypass (RA-CABG) cases at our centre. Methods: One hundred and fifty consecutive patients who underwent RA-CABG with preoperative computed tomography angiography guidance were studied. Robotic LIMA harvesting was performed. The main outcome measure of the study was the midterm survival and incidence of major adverse cardiovascular events (MACE) up to 5 years. Results: The median follow-up was 19.8 months. In the Kaplan–Meier survival analysis, 1-year survival was 99.1% and 5-year survival was 97.5%. 1-year freedom from MACE was 97.3% and 5-year freedom from MACE was 95%. Conclusions: Robotic-assisted minimally invasive coronary bypass surgery has safe midterm outcomes and can be performed with excellent results.