Evidence map›Paper›PMID 40268476›Full record

ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2025

Robotic-Assisted Redo Coronary Artery Bypass Grafting: A Single-Center Experience.

Yoshiyuki Yamashita, Gianluca Torregrossa, Serge Sicouri, Mary Ann C Wertan, Danielle D Spragan, Basel Ramlawi, Francis P Sutter

Abstract read
In one paragraph

Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yoshiyuki YamashitaDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.ORCID http://orcid.org/0000-0003-4363-5156
Gianluca TorregrossaDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.ORCID http://orcid.org/0000-0001-9182-0941
Serge SicouriDepartment of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, PA, USA.ORCID http://orcid.org/0000-0002-1822-768X
Mary Ann C WertanDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.
Danielle D SpraganDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.
Basel RamlawiDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.ORCID http://orcid.org/0000-0002-0471-0910
Francis P SutterDepartment of Cardiac Surgery, Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report our experience with robotic-assisted redo coronary artery bypass grafting (CABG).

methodsThis single-center retrospective study included patients undergoing robotic-assisted redo CABG between 2016 and 2023. Patient demographics and operative outcomes were compared with those of initial robotic-assisted CABG procedures performed during the same period.

resultsThere were 12 patients undergoing robotic-assisted redo CABG, with a median age of 73 years. Compared to initial CABG patients (n = 1415), the Society of Thoracic Surgeons scores were significantly higher (median: 0.90 vs. 7.05, p <0.001) in the redo group. Six patients had de novo internal mammary artery (IMA) to left anterior descending (LAD) bypass, 4 had redo LAD bypass, and 2 had non-LAD bypass. Among the 10 patients with LAD bypass, 4 also underwent hybrid percutaneous coronary intervention. While operating room time (5.4 vs. 7.4 hours, p <0.001), postoperative lengths of stay (4.0 vs. 5.5 days, p = 0.02) and the need for blood transfusion (15% vs. 42%, p = 0.02) were significantly greater in the redo group compared to the initial group, there were no conversions to sternotomy, unplanned revascularization, or in-hospital mortality in the redo patients.

conclusionRobotic-assisted redo CABG demonstrated promising operative outcomes in appropriately selected patients despite the higher-risk cohort.

Indexed as

Coronary Artery BypassCoronary Artery DiseaseRobotic Surgical ProceduresAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsReoperationRetrospective StudiesRisk FactorsTime Factorscoronary artery diseaseDa Vinci surgeryminimally invasive cardiac surgeryoff-pump coronary artery bypass grafting

Identifiers

PMID40268476
PMCPMC12022765

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.