title: Robot-assisted Hybrid Coronary Revascularisation: Systematic Review.
abstract: BACKGROUND
  Hybrid coronary revascularisation (HCR) for multi-vessel coronary artery disease combines surgical bypass grafting for the left anterior descending (LAD) coronary artery and percutaneous coronary intervention (PCI) for non-LAD coronary arteries. The present systematic review was conducted to assess the available evidence on robotic-assisted HCR and explore the potential advantages and disadvantages it proposes.
  
  
  METHODS
  A comprehensive search from six electronic databases was performed for studies reporting outcomes for robotic-assisted hybrid coronary revascularisation. Eight studies were identified from six electronic databases amenable for qualitative assessment and pooled quantitative analysis.
  
  
  RESULTS
  There were no in-hospital deaths reported. Pooled myocardial infarction rates was 1.2% (range 0-3.7%), pooled strokes was 0.8% (range: 0-1.7%), freedom from reintervention was 92.5% (range 70.4-100%), and freedom from angina was 92.9% (range 74.3-100%). LITA patency ranged from 89-100%, while hospital stay ranged from 4-8.1 days.
  
  
  CONCLUSIONS
  The current data suggests potentially acceptable mortality and complication rates, when patients are carefully selected and operated on by expert cardiovascular teams. However, due to the heterogeneous nature of the evidence and lack of long-term outcomes, this promising technique warrants future comparative and randomised studies before becoming a part of mainstay coronary interventions.
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
authors.forename: Nelson
authors.initials: N
authors.lastname: Wang
authors.affiliation: Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Jessie J
authors.initials: JJ
authors.lastname: Zhou
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
authors.forename: Steven
authors.initials: S
authors.lastname: Phan
authors.affiliation: The Collaborative Research (CORE) Group, Macquarie University, Sydney, NSW, Australia.
authors.forename: Tristan D
authors.initials: TD
authors.lastname: Yan
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia; The Collaborative Research (CORE) Group, Macquarie University, Sydney, NSW, Australia. Electronic address: kphan.vc@gmail.com.
authors.forename: Kevin
authors.initials: K
authors.lastname: Phan
mesh_terms: D003331:Coronary Vessels / Q000601:surgery; D016208:Databases, Factual; D017052:Hospital Mortality; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods / Q000401:mortality; D016032:Randomized Controlled Trials as Topic; D065287:Robotic Surgical Procedures / Q000379:methods / Q000401:mortality
keywords: CABG; Coronary revascularisation; Hybrid; PCI; Robotic