Presentations
Following are abstracts of presentations made by Dr. Gadasalli and his colleagues during various professional conferences and seminars.
41st Annual Meeting of The Society of Thoracic Surgeons
January 24, 2005-January 26, 2005
Tampa FL
Date: January 24, 2005
Title: Da Vinci Multivessel Coronary Revascularization on a Beating Heart Initial Clinical Experience
Presenters: S Srivastava1; Suresh Gadasalli1; M Agusala1; M Shroff1; R Barrera1; S Quismundo1; V Srivastava2
1Alliance Hospital, Odessa, Texas
2Cardiac Surgical Associates, Odessa, Texas
BACKGROUND: Da Vinci robotic system has been used in various cardiac surgical procedures. The present report discusses the initial clinical experience with multivessel coronary revascularization done completely using da Vinci Robotic System.
METHODS: From July 14, 2004 to August 3, 2004, five patients underwent multivessel revascularization using da Vinci Robotic System. Five one to two centimeter incisions were made for the camera, two instrument arms and endoscopic stabilizer. After introducing the camera and two instrument arms, the right and left internal thoracic arteries were harvested in a skeletonized fashion. Multivessel cornary artery bypass grafting was done through telemanipulation of da Vinci surgical instruments on a beating heart with U-Clips.
RESULTS: In four patients LITA was anastomosed to left anterior descending artery (LAD) and RITA to obtuse marginal artery. In one patient LITA and RITA were anastomosed to LAD and right coronary artery respectively. There was no mortality, myocardial infarction, cerebrovascular accident, exploration for post-operative bleeding, and atrial fibrillation. The mean anastomosis time was 15.8+/- 5.3 minutes. Mean operative time was 389.25+/- 37.6 minutes. The mean length of hospital stay was 1.5 +/- 0.3 days. All grafts were patent on post operative CT angiography.
CONCLUSIONS: Multivessel coronary revascularization on a beating heart with robotic assistance was found to be feasible in this group of patients. There was minimal pain observed with a faster functional recovery . Further follow up for long term graft patency is necessary. The approach may allow surgeons to perform multivessel coronary artery bypass graft surgery in a completely closed chest manner.
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