Robotic-Assisted Heart Surgery
Robotic-assisted surgery is a minimally invasive approach to treat coronary artery disease and mitral regurgitation.
In 2009, the Oregon Heart & Vascular Institute at Sacred Heart Medical Center began using the da Vinci Si Surgical System, providing surgeons with enhanced capabilities including high-definition 3D vision and a magnified view. Though often called a "robot," the system is actually controlled by the surgeon, giving the surgeon the ability to make smaller, more precise movements of tiny instruments inside the body. The robotic-assisted surgery takes place through very small dime-sized incisions between the ribs.
For coronary bypass, robotic-assisted surgery means avoiding a sternotomy or use of a heart-lung machine.
For mitral valve repair, robotic-assisted surgery is much less invasive than the traditional approach.
Benefits to the patient include:
- Shorter hospital stay and faster recovery
- Less pain, scarring and risk of infection
- Significantly less blood loss and need for blood transfusions
- Quicker return to normal activities
- Significantly less risk of heart attack and stroke following surgery
- Significantly higher patient satisfaction
PCI, CABG or Both
Percutaneous coronary intervention (PCI) encompasses a variety of procedures used to treat patients with diseased arteries of the heart or with a heart attack caused by a large blood clot that completely occludes the artery.
Typically, PCI is performed by threading a slender balloon-tipped tube catheter from the femoral or radial artery to a trouble spot in an artery of the heart. The balloon is then inflated, compressing the plaque and dilating the narrowed coronary artery so blood can flow more easily. This is often accompanied by inserting an expandable metal stent to keep the artery open.
PCI is recognized as the best treatment for smaller lateral coronary arteries, while bypass grafting with the left internal mammary artery (LIMA) is the best treatment for LAD lesions. With robotic-assisted technology, Oregon Heart & Vascular Institute specialists are able to provide both. The LIMA graft is done with robotic-assisted technology through small ports and off-pump in the operating room. Then the patient returns to the cath lab for stenting.
Hybrid Cardiothoracic Surgery: Robotic-assisted CABG followed by PCI
Robotic-Assisted Heart Surgery: Intracardiac tumor (left atrial myxoma)