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Robotic Totally Endoscopic Coronary Artery Bypass Grafting (TECAB). Port Placement, IMA Harvesting, Anastomosis.
Syed Faaz Ashraf, Laura Seese, Allison Davila, Garett Coyan, Kyla Joubert, Dongning Zhang, David Kaczorowski, Daivd West, Ibrahim Sultan, Johannes Bonatti.
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

OBJECTIVE:
Robotic totally endoscopic coronary artery bypass grafting (TECAB) is a procedure in which all main operative steps including anastomotic suturing are carried out using a surgical robot
METHODS:
Here we discuss the technical aspects of how we conduct TECAB at our institution.
RESULTS:
We present the preparation and technical conduct of totally endoscopic coronary artery bypass grafting in its arrested heart version using peripheral cardiopulmonary bypass and cardioplegia through an endoaortic balloon catheter. We showcase port placement, IMA harvest and LIMA-LAD along with diagonal sequential robotic anastomosis.
CONCLUSIONS:With the right techniques and a well trained multidisciplinary team, TECAB can be performed safely and effectively.


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