Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization
Objectives: The impact of long-term complications after robotic hybrid coronary revascularization (HCR), including persistent angina, repeat revascularization, and myocardial infarction (MI), remains limited. This study aims to determine the risk factors for coronary events after robotic HCR and the...
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MDPI AG
2025-01-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/12/1/21 |
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| author | Aleksander Dokollari Beatrice Bacchi Serge Sicouri Francesco Cabrucci Massimo Bonacchi Danielle Spragan Mary Ann C. Wertan Nitin Ghorpade Stephanie Kjelstrom Georgia Montone Yoshiyuki Yamashita Basel Ramlawi Francis Sutter |
| author_facet | Aleksander Dokollari Beatrice Bacchi Serge Sicouri Francesco Cabrucci Massimo Bonacchi Danielle Spragan Mary Ann C. Wertan Nitin Ghorpade Stephanie Kjelstrom Georgia Montone Yoshiyuki Yamashita Basel Ramlawi Francis Sutter |
| author_sort | Aleksander Dokollari |
| collection | DOAJ |
| description | Objectives: The impact of long-term complications after robotic hybrid coronary revascularization (HCR), including persistent angina, repeat revascularization, and myocardial infarction (MI), remains limited. This study aims to determine the risk factors for coronary events after robotic HCR and their time-varying effects on outcomes. Methods: We identified all consecutive patients who underwent robotic HCR at our institution. Baseline characteristics were explored as possible risk factors for angina, MI, and repeat revascularization with stents at any time during the follow-up. Results: A total of 875 patients (mean age 71.1 ± 11.1 years) were included. After a median follow-up of 3.32 years (IQR 1.18–6.34 years), angina occurred in 134 patients (15.3%), repeat revascularization with stents in 139 patients (15.8%), and MI in 36 patients (4.1%). The hazard rates for all outcomes increased with follow-up time, with a notable early rise around two years of follow-up for angina and, to a lesser extent, repeat revascularization. The risk factors were the lack of radial artery graft use, black race, diabetes, obesity, chronic obstructive pulmonary disease, low ejection fraction <50%, severe left main coronary artery stenosis (>50%), and more than three-vessel disease. Conclusions: Optimization of modifiable periprocedural risk factors may positively impact long-term prognosis in patients undergoing robotic HCR. |
| format | Article |
| id | doaj-art-eb7b8e0cc46d40df98dfac6f50a831b7 |
| institution | Kabale University |
| issn | 2308-3425 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-eb7b8e0cc46d40df98dfac6f50a831b72025-01-24T13:36:01ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-01-011212110.3390/jcdd12010021Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary RevascularizationAleksander Dokollari0Beatrice Bacchi1Serge Sicouri2Francesco Cabrucci3Massimo Bonacchi4Danielle Spragan5Mary Ann C. Wertan6Nitin Ghorpade7Stephanie Kjelstrom8Georgia Montone9Yoshiyuki Yamashita10Basel Ramlawi11Francis Sutter12Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USAF.U. of Cardiac Surgery, Clinical and Experimental Medicine Department, University of Firenze, 50121 Florence, ItalyDepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USAF.U. of Cardiac Surgery, Clinical and Experimental Medicine Department, University of Firenze, 50121 Florence, ItalyDepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA 19096, USACardiac Surgery Division, St. Boniface Hospital, University of Manitoba, Winnipeg, MB R3T 2N2, CanadaDepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USADepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA 19096, USAObjectives: The impact of long-term complications after robotic hybrid coronary revascularization (HCR), including persistent angina, repeat revascularization, and myocardial infarction (MI), remains limited. This study aims to determine the risk factors for coronary events after robotic HCR and their time-varying effects on outcomes. Methods: We identified all consecutive patients who underwent robotic HCR at our institution. Baseline characteristics were explored as possible risk factors for angina, MI, and repeat revascularization with stents at any time during the follow-up. Results: A total of 875 patients (mean age 71.1 ± 11.1 years) were included. After a median follow-up of 3.32 years (IQR 1.18–6.34 years), angina occurred in 134 patients (15.3%), repeat revascularization with stents in 139 patients (15.8%), and MI in 36 patients (4.1%). The hazard rates for all outcomes increased with follow-up time, with a notable early rise around two years of follow-up for angina and, to a lesser extent, repeat revascularization. The risk factors were the lack of radial artery graft use, black race, diabetes, obesity, chronic obstructive pulmonary disease, low ejection fraction <50%, severe left main coronary artery stenosis (>50%), and more than three-vessel disease. Conclusions: Optimization of modifiable periprocedural risk factors may positively impact long-term prognosis in patients undergoing robotic HCR.https://www.mdpi.com/2308-3425/12/1/21coronary artery bypass graftmyocardial revascularizationrobotic cardiac surgerypercutaneous coronary revascularization |
| spellingShingle | Aleksander Dokollari Beatrice Bacchi Serge Sicouri Francesco Cabrucci Massimo Bonacchi Danielle Spragan Mary Ann C. Wertan Nitin Ghorpade Stephanie Kjelstrom Georgia Montone Yoshiyuki Yamashita Basel Ramlawi Francis Sutter Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization Journal of Cardiovascular Development and Disease coronary artery bypass graft myocardial revascularization robotic cardiac surgery percutaneous coronary revascularization |
| title | Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization |
| title_full | Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization |
| title_fullStr | Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization |
| title_full_unstemmed | Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization |
| title_short | Risk Factors for Coronary Events After Robotic Hybrid Off-Pump Coronary Revascularization |
| title_sort | risk factors for coronary events after robotic hybrid off pump coronary revascularization |
| topic | coronary artery bypass graft myocardial revascularization robotic cardiac surgery percutaneous coronary revascularization |
| url | https://www.mdpi.com/2308-3425/12/1/21 |
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