title: On-pump beating-heart with axillary artery perfusion: a solution for robotic totally endoscopic coronary artery bypass grafting?
abstract: Robotic totally endoscopic coronary artery bypass grafting (TECAB) can be performed on the arrested heart or on the beating heart without heart-lung machine support. In high-risk patients or in patients where technical difficulties are expected with a complete off-pump approach, a beating heart concept with heart-lung machine support can be an important option. Femoral arterial cannulation is associated with additional risk of retrograde cerebral embolization, and axillary cannulation is an accepted method in aortic surgery. We describe a case where an axillary artery cannulation method was used for the first time in TECAB performed with the da Vinci telemanipulation system.
authors: University of Maryland Heart Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA. jbonatti@smail.umaryland.edu
authors: Johannes
authors: J
authors: Bonatti
authors: Jose
authors: J
authors: Garcia
authors: Atiq
authors: A
authors: Rehman
authors: Patrick
authors: P
authors: Odonkor
authors: Reyaz
authors: R
authors: Haque
authors: David
authors: D
authors: Zimrin
authors: Bartley
authors: B
authors: Griffith
mesh_terms: D000369:Aged, 80 and over; D001366:Axillary Artery; D001026:Coronary Artery Bypass / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D023921:Coronary Stenosis / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D010477:Perfusion / Q000379:methods*; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome