Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting

Lukas Stastny; Markus Kofler; Julia Dumfarth; Alim Basaran; Dominik Wiedemann; Thomas Schachner; Gudrun Feuchtner; Johannes Bonatti; Nikolaos Bonaros

doi:10.1097/IMI.0000000000000461

Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting

Lukas Stastny
, Markus Kofler
, Julia Dumfarth
, Alim Basaran
, Dominik Wiedemann
, Thomas Schachner
, Gudrun Feuchtner
, Johannes Bonatti
, Nikolaos Bonaros

Research output: Journal article (peer-reviewed) › Journal article

11 Citations (Scopus)

Abstract

OBJECTIVE: Totally endoscopic coronary artery bypass grafting was shown to be feasible and safe, with excellent clinical and angiographic mid-term results. Data on long-term outcome are lacking. Therefore, we aimed to investigate the long-term rate of major adverse cardiac and cerebrovascular events and left internal mammary artery patency rate in patients undergoing arrested heart totally endoscopic coronary artery bypass grafting.

METHODS: From 2001 to 2012, a total of 208 arrested heart-totally endoscopic coronary artery bypass grafting patients were prospectively included. Mean ± SD age was 58.8 ± 9.4 years, and mean ± SD Society of Thoracic Surgeons score was 0.5 ± 0.5%. Major adverse cardiac and cerebrovascular events were defined as a composite of death, myocardial infarction, stroke, re-percutaneous coronary intervention, re-coronary artery bypass graft, and target vessel revascularization. Left internal mammary artery patency was assessed using cardiac computed tomography and depicted according to the established Fitzgibbon classification. Mean ± SD follow-up was 6.9 ± 2.3 years.

RESULTS: At 1, 5, and 10 years, survival rate was 100%, 98.3%, and 95.8%, respectively. The freedom from clinical events at 1, 5, and 10 years were major adverse cardiac and cerebrovascular events (93.5%, 85.9%, and 83.0%), myocardial infarction (99.0%, 97.4%, and 95.9%), target vessel revascularization (96.0%, 94.3%, and 91.7%), re-percutaneous coronary intervention (94.5%, 91.6%, and 84.2%), and re-coronary artery bypass graft (100%, 99.5%, and 99.5%), respectively. Left internal mammary artery patency rate at 1, 5, and 10 years was 100%, 94.9%, and 88.1%, respectively.

CONCLUSIONS: Arrested heart-totally endoscopic coronary artery bypass grafting shows excellent clinical long-term results with a left internal mammary artery patency rate comparable with conventional coronary artery bypass graft at 10 years after surgery.

Original language	English
Pages (from-to)	5-10
Number of pages	6
Journal	Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume	13
Issue number	1
DOIs	https://doi.org/10.1097/IMI.0000000000000461
Publication status	Published - 01 Jan 2018
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Aged
Computed Tomography Angiography/methods
Coronary Artery Bypass/adverse effects
Coronary Artery Disease/surgery
Endoscopy/instrumentation
Female
Follow-Up Studies
Heart/diagnostic imaging
Humans
Internal Mammary-Coronary Artery Anastomosis/methods
Male
Mammary Arteries/diagnostic imaging
Middle Aged
Myocardial Infarction/complications
Percutaneous Coronary Intervention/statistics & numerical data
Prospective Studies
Robotic Surgical Procedures/methods
Stroke/complications
Tomography, X-Ray Computed/methods
Treatment Outcome
Vascular Patency/physiology

Access to Document

10.1097/IMI.0000000000000461

Cite this

Stastny, L., Kofler, M., Dumfarth, J., Basaran, A., Wiedemann, D., Schachner, T., Feuchtner, G., Bonatti, J., & Bonaros, N. (2018). Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 13(1), 5-10. https://doi.org/10.1097/IMI.0000000000000461

@article{07186e37948c41a1b8d69bb23c5beeed,

title = "Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting",

abstract = "OBJECTIVE: Totally endoscopic coronary artery bypass grafting was shown to be feasible and safe, with excellent clinical and angiographic mid-term results. Data on long-term outcome are lacking. Therefore, we aimed to investigate the long-term rate of major adverse cardiac and cerebrovascular events and left internal mammary artery patency rate in patients undergoing arrested heart totally endoscopic coronary artery bypass grafting.METHODS: From 2001 to 2012, a total of 208 arrested heart-totally endoscopic coronary artery bypass grafting patients were prospectively included. Mean ± SD age was 58.8 ± 9.4 years, and mean ± SD Society of Thoracic Surgeons score was 0.5 ± 0.5\%. Major adverse cardiac and cerebrovascular events were defined as a composite of death, myocardial infarction, stroke, re-percutaneous coronary intervention, re-coronary artery bypass graft, and target vessel revascularization. Left internal mammary artery patency was assessed using cardiac computed tomography and depicted according to the established Fitzgibbon classification. Mean ± SD follow-up was 6.9 ± 2.3 years.RESULTS: At 1, 5, and 10 years, survival rate was 100\%, 98.3\%, and 95.8\%, respectively. The freedom from clinical events at 1, 5, and 10 years were major adverse cardiac and cerebrovascular events (93.5\%, 85.9\%, and 83.0\%), myocardial infarction (99.0\%, 97.4\%, and 95.9\%), target vessel revascularization (96.0\%, 94.3\%, and 91.7\%), re-percutaneous coronary intervention (94.5\%, 91.6\%, and 84.2\%), and re-coronary artery bypass graft (100\%, 99.5\%, and 99.5\%), respectively. Left internal mammary artery patency rate at 1, 5, and 10 years was 100\%, 94.9\%, and 88.1\%, respectively.CONCLUSIONS: Arrested heart-totally endoscopic coronary artery bypass grafting shows excellent clinical long-term results with a left internal mammary artery patency rate comparable with conventional coronary artery bypass graft at 10 years after surgery.",

keywords = "Aged, Computed Tomography Angiography/methods, Coronary Artery Bypass/adverse effects, Coronary Artery Disease/surgery, Endoscopy/instrumentation, Female, Follow-Up Studies, Heart/diagnostic imaging, Humans, Internal Mammary-Coronary Artery Anastomosis/methods, Male, Mammary Arteries/diagnostic imaging, Middle Aged, Myocardial Infarction/complications, Percutaneous Coronary Intervention/statistics \& numerical data, Prospective Studies, Robotic Surgical Procedures/methods, Stroke/complications, Tomography, X-Ray Computed/methods, Treatment Outcome, Vascular Patency/physiology",

author = "Lukas Stastny and Markus Kofler and Julia Dumfarth and Alim Basaran and Dominik Wiedemann and Thomas Schachner and Gudrun Feuchtner and Johannes Bonatti and Nikolaos Bonaros",

note = "Publisher Copyright: {\textcopyright} 2018 International Society for Minimally Invasive Cardiothoracic Surgery.",

year = "2018",

month = jan,

day = "1",

doi = "10.1097/IMI.0000000000000461",

language = "English",

volume = "13",

pages = "5--10",

journal = "Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery",

issn = "1556-9845",

publisher = "SAGE Publications Ltd",

number = "1",

}

Stastny, L, Kofler, M, Dumfarth, J, Basaran, A, Wiedemann, D, Schachner, T, Feuchtner, G, Bonatti, J & Bonaros, N 2018, 'Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting', Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, vol. 13, no. 1, pp. 5-10. https://doi.org/10.1097/IMI.0000000000000461

TY - JOUR

T1 - Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting

AU - Stastny, Lukas

AU - Kofler, Markus

AU - Dumfarth, Julia

AU - Basaran, Alim

AU - Wiedemann, Dominik

AU - Schachner, Thomas

AU - Feuchtner, Gudrun

AU - Bonatti, Johannes

AU - Bonaros, Nikolaos

PY - 2018/1/1

Y1 - 2018/1/1

N2 - OBJECTIVE: Totally endoscopic coronary artery bypass grafting was shown to be feasible and safe, with excellent clinical and angiographic mid-term results. Data on long-term outcome are lacking. Therefore, we aimed to investigate the long-term rate of major adverse cardiac and cerebrovascular events and left internal mammary artery patency rate in patients undergoing arrested heart totally endoscopic coronary artery bypass grafting.METHODS: From 2001 to 2012, a total of 208 arrested heart-totally endoscopic coronary artery bypass grafting patients were prospectively included. Mean ± SD age was 58.8 ± 9.4 years, and mean ± SD Society of Thoracic Surgeons score was 0.5 ± 0.5%. Major adverse cardiac and cerebrovascular events were defined as a composite of death, myocardial infarction, stroke, re-percutaneous coronary intervention, re-coronary artery bypass graft, and target vessel revascularization. Left internal mammary artery patency was assessed using cardiac computed tomography and depicted according to the established Fitzgibbon classification. Mean ± SD follow-up was 6.9 ± 2.3 years.RESULTS: At 1, 5, and 10 years, survival rate was 100%, 98.3%, and 95.8%, respectively. The freedom from clinical events at 1, 5, and 10 years were major adverse cardiac and cerebrovascular events (93.5%, 85.9%, and 83.0%), myocardial infarction (99.0%, 97.4%, and 95.9%), target vessel revascularization (96.0%, 94.3%, and 91.7%), re-percutaneous coronary intervention (94.5%, 91.6%, and 84.2%), and re-coronary artery bypass graft (100%, 99.5%, and 99.5%), respectively. Left internal mammary artery patency rate at 1, 5, and 10 years was 100%, 94.9%, and 88.1%, respectively.CONCLUSIONS: Arrested heart-totally endoscopic coronary artery bypass grafting shows excellent clinical long-term results with a left internal mammary artery patency rate comparable with conventional coronary artery bypass graft at 10 years after surgery.

AB - OBJECTIVE: Totally endoscopic coronary artery bypass grafting was shown to be feasible and safe, with excellent clinical and angiographic mid-term results. Data on long-term outcome are lacking. Therefore, we aimed to investigate the long-term rate of major adverse cardiac and cerebrovascular events and left internal mammary artery patency rate in patients undergoing arrested heart totally endoscopic coronary artery bypass grafting.METHODS: From 2001 to 2012, a total of 208 arrested heart-totally endoscopic coronary artery bypass grafting patients were prospectively included. Mean ± SD age was 58.8 ± 9.4 years, and mean ± SD Society of Thoracic Surgeons score was 0.5 ± 0.5%. Major adverse cardiac and cerebrovascular events were defined as a composite of death, myocardial infarction, stroke, re-percutaneous coronary intervention, re-coronary artery bypass graft, and target vessel revascularization. Left internal mammary artery patency was assessed using cardiac computed tomography and depicted according to the established Fitzgibbon classification. Mean ± SD follow-up was 6.9 ± 2.3 years.RESULTS: At 1, 5, and 10 years, survival rate was 100%, 98.3%, and 95.8%, respectively. The freedom from clinical events at 1, 5, and 10 years were major adverse cardiac and cerebrovascular events (93.5%, 85.9%, and 83.0%), myocardial infarction (99.0%, 97.4%, and 95.9%), target vessel revascularization (96.0%, 94.3%, and 91.7%), re-percutaneous coronary intervention (94.5%, 91.6%, and 84.2%), and re-coronary artery bypass graft (100%, 99.5%, and 99.5%), respectively. Left internal mammary artery patency rate at 1, 5, and 10 years was 100%, 94.9%, and 88.1%, respectively.CONCLUSIONS: Arrested heart-totally endoscopic coronary artery bypass grafting shows excellent clinical long-term results with a left internal mammary artery patency rate comparable with conventional coronary artery bypass graft at 10 years after surgery.

KW - Aged

KW - Computed Tomography Angiography/methods

KW - Coronary Artery Bypass/adverse effects

KW - Coronary Artery Disease/surgery

KW - Endoscopy/instrumentation

KW - Female

KW - Follow-Up Studies

KW - Heart/diagnostic imaging

KW - Humans

KW - Internal Mammary-Coronary Artery Anastomosis/methods

KW - Male

KW - Mammary Arteries/diagnostic imaging

KW - Middle Aged

KW - Myocardial Infarction/complications

KW - Percutaneous Coronary Intervention/statistics & numerical data

KW - Prospective Studies

KW - Robotic Surgical Procedures/methods

KW - Stroke/complications

KW - Tomography, X-Ray Computed/methods

KW - Treatment Outcome

KW - Vascular Patency/physiology

UR - https://www.scopus.com/pages/publications/85047830762

U2 - 10.1097/IMI.0000000000000461

DO - 10.1097/IMI.0000000000000461

M3 - Journal article

C2 - 29465628

SN - 1556-9845

VL - 13

SP - 5

EP - 10

JO - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

JF - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

IS - 1

ER -

Long-Term Clinical and Computed Tomography Angiographic Follow-up After Totally Endoscopic Coronary Artery Bypass Grafting

Abstract

UN SDGs

Keywords

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