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September 17, 2026Acibadem Universitesi Saglik Bilimleri DergisiOpen Access

Safety and Feasibility of Axillary Artery Cannulation In Robotic Assisted Minimally Invasive Coronary Revascularization

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Authors

GAGökhan ArslanhanZÖZeynep Sıla ÖzcanMBMurat Baştopçu

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Overview

Retrospective cohort study demonstrates zero mortality or stroke with axillary cannulation in robotic coronary bypass surgery, indicating a safe alternative for patients with vascular disease.

Key Points

  • To compare perioperative complications and safety outcomes between axillary and femoral artery cannulation in patients undergoing robotic-assisted minimally invasive coronary artery bypass surgery.
  • Retrospective review of 96 consecutive patients undergoing on-pump robotic-assisted minimally invasive coronary artery bypass surgery between March 2022 and May 2024 at a single institution.
  • Preoperative computed tomography scans guided arterial cannulation strategy, assigning 57 patients (59.4%) to axillary cannulation and 39 patients (40.6%) to femoral cannulation.
  • Primary endpoints evaluated included in-hospital mortality, stroke, and cannulation-related complications such as neurovascular injury and infection.
  • Zero cases of in-hospital mortality (0/57 vs 0/39) or stroke (0/57 vs 0/39) occurred in either the axillary or femoral cannulation groups.
  • Neither group experienced hematomas, cannulation site infections, arterial dissections, systemic emboli, or brachial plexus injuries.
  • Cannulation-site seromas developed in 3 of 39 patients (7.7%) in the femoral cannulation group, compared to 0 of 57 patients (0.0%) in the axillary cannulation group.

Cite This Study

Arslanhan et al. (2026) studied this question.

synapsesocial.com/papers/6aabb68c5f706d05830e50e5https://doi.org/10.31067/acusaglik.2033231
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