دورية أكاديمية
A robotic-assisted hybrid coronary revascularization program: Establishment and early experience in the Middle East.
| العنوان: | A robotic-assisted hybrid coronary revascularization program: Establishment and early experience in the Middle East. |
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| المؤلفون: | Aluthman U; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Bafageeh SW; College of Medicine, King Saud bin Abdulaziz University for Health Science, Jeddah, Saudi Arabia., Ashour MA; College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Barnawi HI; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Bogis AA; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Alamri R; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Elmahrouk AF; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt., AlGhamdi SA; King Fahad General Hospital, Jeddah, Saudi Arabia., Ismaeil N; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Shihata M; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Jamjoom AA; Cardiovascular Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. |
| المصدر: | Journal of cardiac surgery [J Card Surg] 2022 Dec; Vol. 37 (12), pp. 4783-4789. Date of Electronic Publication: 2022 Nov 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986- |
| مواضيع طبية MeSH: | Coronary Artery Disease*/surgery , Percutaneous Coronary Intervention*/methods , Robotic Surgical Procedures*, Male ; Humans ; Middle Aged ; Female ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Background: Hybrid coronary revascularization (HCR) is a technique that merges coronary artery bypass grafting surgery and percutaneous coronary intervention (PCI) approaches for the treatment of multivessel coronary artery disease. The surgical component of the procedure is minimally invasive and can be done using robotic technology that avoids the need for sternotomy. Our objective is to study all patients who underwent robotic-assisted HCR (RHCR) to evaluate the feasibility and safety of the procedure during the establishment phase. Methods: This study is a retrospective chart review conducted at King Faisal Specialist Hospital and Research Centre in Jeddah (KFSRC-J). The study focuses on patients who underwent RHCR between July 2018 to December 2020. The study was approved by the institutional review board #2020-103. Results: Robotic-assisted HCR was performed on 78 patients (mean age, 56 years (range, 43-72 years); 89.75% males) during the study phase. Left internal mammary artery grafting was used in all patients. There was no hospital mortality, and the mean hospital and intensive care unit (ICU) stay were 5.8 and 1.4 days, respectively. We found that 93.6% of the patients had no blood transfusion. There were no major adverse cardiac events (MACE) and perioperative MI recorded. There was a 3.8% rate of postoperative complications. The percentage of surgeries converted to conventional and re-exploration for bleeding were 1.2% and 2.6%, respectively. The average operation time was 164 min. Conclusion: This study emphasizes on the safety and effectiveness of RHCR in treating patients with multivessel coronary artery disease. Moreover, robotic-assisted hybrid coronary revascularization offers an alternative, functionally complete revascularization option to a selected group of patients with minimal surgical trauma, short hospital and ICU length of stay, quick recovery, and little to no blood transfusion requirement. (© 2022 Wiley Periodicals LLC.) |
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| فهرسة مساهمة: | Keywords: coronary artery bypass grafting (CABG); coronary artery disease (CAD); left anterior descending (LAD); left circumflex artery (LCX); left internal mammary artery (LIMA); major adverse cardiac events (MACE); minimal invasive surgery; percutaneous coronary intervention (PCI); right coronary artery (RCA); robotic-assisted hybrid coronary revascularization (HCR) |
| تواريخ الأحداث: | Date Created: 20221109 Date Completed: 20230105 Latest Revision: 20230111 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1111/jocs.17123 |
| PMID: | 36349707 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1540-8191 |
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| DOI: | 10.1111/jocs.17123 |