da Vinci® Surgery - Coronary Bypass (Revascularization) Surgery
Coronary artery disease occurs when a waxy substance (plaque) builds up inside your coronary arteries. As the plaque hardens over time, it can reduce blood flow to your heart. If you have coronary artery disease that cannot be controlled with lifestyle changes, medicine or other options, your doctor may suggest surgery. This type of surgery is known as coronary bypass or revascularization surgery. It can be done with open surgery through one large incision (cut) or minimally invasive surgery through a few small incisions between the ribs (also called thoracoscopy).
Coronary Bypass Surgery
The goal of surgery is to restore blood flow to your heart. This is done by redirecting the flow of blood around a section of the blocked artery. Surgeons take a healthy blood vessel from your leg, arm, chest or abdomen and connect it to the other arteries in your heart. This allows blood to pass around (bypass) the blocked area.If you’re facing coronary artery surgery, ask your doctor if you are a candidate for minimally invasive surgery, including da Vinci Surgery.
Why da Vinci Surgery?
Instead of a large open incision, da Vinci technology enables your surgeon to operate through a few small incisions (cuts) between your ribs, similar to minimally invasive thoracoscopy. There is no need to cut through your breast bone or spread your ribs, and surgeons do not need to use a heart lung machine which stops your heart during surgery. The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System features:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision, and control
Clinical data suggests da Vinci Coronary Bypass Surgery offers the following potential benefits:
- Low rate of major complications1
- Low rate of blood loss and transfusions1
- Short time in intensive care unit (ICU)1
- Short hospital stay1
- Small incisions for minimal scarring
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Coronary Bypass Surgery (Mammary to Left Anterior Descending Coronary Artery Anastomosis for Cardiac Revascularization with Adjunctive Mediastinotomy): graft injury or narrowing, blood vessel connection fails requiring another operation, stroke caused by a clot that gets stuck in smaller arteries of the brain, heart failure (heart cannot pump enough blood to the body), tear in the aortic wall causes it to separate, lengthy time on a breathing machine of 48 hours or more, lengthy time for a heart lung machine, extracorporeal membrane oxygenation (outside body technique to provide cardiac and respiratory support), intraaortic balloon pump (mechanical device to increase oxygen to cardiac muscles) or other cardiac assist systems, fluid in the lungs, sudden lack of blood flow to a limb due to a block in the blood stream, valve infection, irregular heartbeat that requires a pacemaker, kidney or lung failure, sac-like cover around the heart becomes swollen and causes a low fever and chest pain for up to 6 months, bleeding disorder in which the blood cannot properly clot, heart attack, memory loss and/or loss of mental clarity, infections which may affect the kidneys, chest, valves or bladder cut in the major artery(ies) that sends blood to the pelvis and legs, pooling of blood between the chest wall and lung, pressure on the heart when blood/fluids build up between the heart muscle and its outer sac.
- Poston RS, Tran R, Collins M, Reynolds M, Connerney I, Reicher B, Zimrin D, Griffith BP, Bartlett ST. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008 Oct;248(4):638-46.
PN 1002208 Rev E 10/2016
Important Safety Information
Patients should talk to their doctors to decide if da Vinci® surgery is right for them. Patients and doctors should review all available information on nonsurgical and surgical options and associated risks in order to make an informed decision.
Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques, which could result in a longer operative time and/or increased complications. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.intuitive.com/safety.
Individuals' outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics, and/or surgeon experience.
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The materials on this website are for general educational information only. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Intuitive Surgical does not practice medicine or provide medical services or advice and the information on this website should not be considered medical advice. You should always talk to your healthcare provider for diagnosis and treatment. Health information changes quickly. Therefore, it is always best to consult with your healthcare provider.
If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.