Robotic hand-sewn anastomosis versus anastomotic connector in beating-heart totally endoscopic coronary artery bypass: A propensity-matched studyCentral MessagePerspective
Objective: To compare the outcomes of a robotic hand-sewn anastomosis versus a distal coronary anastomotic connector in single-vessel robotic beating-heart totally endoscopic coronary artery bypass (TECAB). Methods: Of a total 811 patients undergoing robotic TECAB between July 2013 and September 202...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
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| Series: | JTCVS Structural and Endovascular |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950605025000014 |
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| Summary: | Objective: To compare the outcomes of a robotic hand-sewn anastomosis versus a distal coronary anastomotic connector in single-vessel robotic beating-heart totally endoscopic coronary artery bypass (TECAB). Methods: Of a total 811 patients undergoing robotic TECAB between July 2013 and September 2023, 301 consecutive patients (37%) who underwent left internal thoracic artery to the left anterior descending artery bypass were included in this study. The anastomotic connector was used in 129 patients and robotic hand-sewn in 172 patients. Propensity matching identified 100 matched pairs of anastomotic connector (group 1) and hand-sewn (group 2) for analysis. The intraoperative and postoperative data were compared. Results: After propensity matching, there were no significant differences in baseline characteristics. The median operative time was shorter in group 1 (140 minutes vs 172 minutes, P = .001). Left internal thoracic artery-left anterior descending flow was similar (group 1: 85 mL/min vs group 2: 95 mL/min, P = .164). The length of hospital stay was shorter in the group 2 (2.5 ± 0.9 days, vs 2.0 ± 0.7 days, P = .001). In-hospital mortality was similar between the groups (group 1: 1.0%, vs group 2: 0%, P = 1.000). Freedom from major adverse cardiovascular events at 1 year was 91.8% in group 1 and 96.9% in group 2 (P = .072). Conclusions: The use of an anastomotic connector in single-vessel robotic TECAB was associated with shorter operative time. Both anastomotic techniques demonstrated excellent 1-year outcomes. |
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| ISSN: | 2950-6050 |