ArticleJTCVS structural and endovascular2025
Robotic hand-sewn anastomosis versus anastomotic connector in beating-heart totally endoscopic coronary artery bypass: A propensity-matched study.
Article in JTCVS structural and endovascular, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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, 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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