Totally endoscopic robotically assisted coronary artery bypass grafting
Summary
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on totally endoscopic robotically assisted coronary artery bypass grafting.
Description
The development of endoscopic surgical techniques with robotic assistance has enabled this technology to be used for coronary artery bypass grafting, known as totally endoscopic coronary artery bypass surgery (TECAB) . Following deflation of the lung, small-port incisions are made at three intercostal spaces through which one robotic arm carrying the endoscope and two arms with surgical implement attachments are introduced. Grafts are harvested from suitable donor sites, and anastomosis is achieved across the diseased coronary artery in one or more vessels.
TECAB treatment of the beating heart is carried out using a stabilisation device, consisting of two branches like those used in the MIDCAB procedure, that hold the site for anastomosis steady while the heart continues to beat and removes the need for cardiopulmonary bypass. The stabilisation device requires an additional chest incision to be made when it is used.
OPCS code:
Details
Surgical procedures
Society of Cardiothoracic Surgeons of Great Britain and Ireland
British Cardiac Society
British Cardiovascular Interventional Society
Contact details:
(for general enquiries or comments)
(for procedure specific enquiries or comments)
ip@nice.org.uk
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
