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New Hybrid Treatment of Coronary Artery Disease Combining Robotic Surgery and Angioplasty Featured at 52nd Annual Scientific Session of American College of Cardiology.


Business Editors/Health/Medical Writers

SANTA BARBARA, Calif. & CHICAGO--(BUSINESS WIRE)--April 2, 2003

Computer Motion, Inc. (Nasdaq:RBOT RBOT Rotating Bomb Oxidation Test ):

-- Investigators Say Endo-ACAB(TM) Surgical Treatment of the LAD

Combined with Percutaneously Placed Stents Offers the

Long-Term Results of Cardiac Surgery With Less Invasive

Approach of Interventional Cardiology

Computer Motion, Inc. (Nasdaq:RBOT), today announced that in a press conference at the American College of Cardiology The American College of Cardiology (ACC) is a nonprofit medical association established in 1949 to educate, research and influence health care public policy. The president for the 2006–2007 year is Steven E. Nissen. [1] The organization has 39 chapters in the U.S.  (ACC See adaptive cruise control. ) 52nd Annual Scientific Session on Wednesday, April 2, 2003, Dr. Kenneth D. Stahl, Cardiac Surgeon, will present results of a study into a new breakthrough in the treatment of multiple vessel coronary artery disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. , gathered from several centers, including Cleveland Clinic Weston, Buffalo General, Sacred Heart Hospital This article is about the fictional hospital on Scrubs. For other uses, see Sacred Heart Hospital (disambiguation).
Sacred Heart Hospital is the setting of the American sitcom Scrubs.
 in Pensacola, Florida, and Selesia, Poland. The paper is one of only several to be featured at the press conference, selected from among thousands of scientific papers submitted to the annual ACC meeting.

In the study, Dr. Stahl and his co-authors, Kenneth R. Fromkin MD, Andrzej Bochenek MD, W. Douglas Boyd MD, Thomas A. Vassiliades MD, Hratch L. Karamanoukian MD, and Marek Cisowski MD, demonstrate the excellent outcomes and patient benefits achieved when using a combination of angioplasty and a groundbreaking robotically assisted minimally invasive coronary artery bypass Coronary artery bypass
Surgical procedure to reroute blood around a blocked coronary artery.

Mentioned in: Heart Failure

coronary artery bypass,
n
 procedure, Endoscopic Atraumatic atraumatic /atrau·mat·ic/ (a?traw-mat´ik) not producing injury or damage.

atraumatic

not producing injury or damage.

atraumatic adjective Without injury
 Coronary Artery Bypass Graft coronary artery bypass graft
n. Abbr. CABG
A surgical procedure in which a section of vein or other conduit is grafted between the aorta and a coronary artery below the region of an obstruction in that artery.
 (Endo-ACAB(TM)), to treat multivessel heart disease.

"The long-term benefits of surgery to graft the left internal mammary artery (LIMA Lima, city, Peru
Lima (lē`mə, Span. lē`mä), city (1990 metropolitan area est. pop. 6,400,000), W Peru, capital and largest city of Peru. Its port is Callao.
) to the left anterior descending coronary artery Left anterior descending coronary artery (LAD)
One of the heart's coronary artery branches from the left main coronary artery which supplies blood to the left ventricle.

Mentioned in: Cardiac Catheterization
 (LAD) are well known; it is the `gold-standard' of heart bypass surgery today. This new hybrid treatment option combines the best of surgical and catheter based therapy (PCI (1) (Payment Card Industry) See PCI DSS.

(2) (Peripheral Component Interconnect) The most widely used I/O bus (peripheral bus).
) to treat patients in a minimally invasive manner," stated Dr. Kenneth D. Stahl. He continued, "From my experience in practice I believe this combined treatment will ultimately be available to serve thirty to forty percent of all patients who require treatment for blocked coronary arteries."

Patients in the study received Percutaneous Coronary Intervention Percutaneous coronary intervention (PCI), commonly known as coronary angioplasty or simply angioplasty, is a therapeutic procedure to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease.  (PCI) angioplasty, stent placement to non-LAD vessels, and the Endo-ACAB robotically assisted minimally invasive "off-pump" beating-heart coronary artery bypass procedure. In the study, 150 patients received robotically assisted Left Internal Mammary Artery (LIMA) to Left Anterior Descending (LAD) coronary artery bypass grafts, combined with angioplasty to revascularize non-LAD vessels of the heart. A total of 317 vessels were treated and all of the patients were successfully and completely revascularized. The hybrid approach yielded excellent symptom relief with outstanding LAD patency rates, and lower than average restenosis rates when compared with PCI alone in the treatment of all vessels.

"Endo-ACAB is an important step forward in our ability to restore blood flow to the heart of a patient crippled by coronary blockages. It connects our very best bypass graft to the largest artery in the heart. This key bypass indisputably provides an unequalled long-term benefit to our patients. Endo-ACAB delivers this huge benefit like a ship built within a glass bottle: a classic, proven bypass graft is constructed through natural spaces in the thoracic skeleton. Like the glass bottle, the skeleton is untouched, and postoperative pain is minimized. We at Emory look forward to offering this procedure to our patients," stated Dr. Robert Guyton, Chief of Cardiothoracic Surgery, The Emory Clinic, Atlanta, Georgia.

Dr. Guyton's staff was recently trained in these techniques by two of the authors, Drs. Vassiliades and Stahl. Computer Motion offers Endo-ACAB training courses at its facilities in Santa Barbara, California Santa Barbara is a city in California, United States. It is the county seat of Santa Barbara County, California. As of the 2000 census, the city had a total population of 92,325. , and at centers of excellence in the U.S. Computer Motion manufactures and markets Endo-ACAB procedure kits developed to provide surgeons with re-usable and disposable products for use in the surgery.

The robotically assisted surgeries were completed using the AESOP Aesop (ē`səp, ē`sŏp), legendary Greek fabulist. According to Herodotus, he was a slave who lived in Samos in the 6th cent. B.C. and eventually was freed by his master. (R) Robotic Endoscope Positioner surgical robotic system, or the ZEUS(R) Surgical System, both manufactured by Computer Motion, Santa Barbara, California. AESOP allows surgeons to precisely view the anatomy of the heart with greater than ten times magnification, and a steady visual field free from tremor associated with manually held endoscope techniques. Surgeons are able to control AESOP using simple voice commands to accurately position the endoscope during surgery.

"We believe this study will pave the way for closer cooperation between cardiac surgeons and interventional cardiologists, and it is my hope that this type of combined approach to treating heart disease will undergo exponential growth in the near term; clearly this procedure deserves continued investigation," stated Dr. Kenneth R. Fromkin, Cardiologist, Cleveland Clinic Florida in Weston.

More than 1.3 million patients each year in the United States receive coronary artery revascularization treatment(a), including surgical bypass and interventional cardiology. Heart disease is the leading cause of death in the United States, claiming more lives than the next seven leading causes of death combined.

"This study is the first look at what can be accomplished when surgeons and cardiologists work together to bring the best possible treatment options to their patients," commented Dr. Thomas Vassiliades, Sacred Heart Hospital, Pensacola, Florida. "I have performed over 500 Endo-ACAB procedures, and the results for my patients have been extremely positive," he continued.

Minimally invasive surgery minimally invasive surgery Laparoscopic surgery, see there. See Laparoscopic cholecystectomy.  (MIS) offers patients the benefits of smaller incisions with less associated pain and trauma, as well as faster recovery from the effects of surgery. Patients undergoing MIS procedures are often able to leave the hospital within 48 hours. The Endo-ACAB procedure represents an important advance in surgical treatment of heart disease. Patients are operated on "off-pump," on the beating heart without the use of a heart-lung machine, and are able to return to normal activity within an average of 10 days, as opposed to several weeks or even months after traditional stopped-heart open-chest bypass surgery using a sternotomy incision through the sternum sternum: see rib.  (breastbone breast·bone
n.
See sternum.
).

Computer Motion's products include the ZEUS(R) Surgical System for minimally invasive surgical procedures, and the HERMES(R) Control Center, a centralized system that enables the surgeon to voice control a network of "smart" medical devices. The AESOP(R) Robotic Endoscope Positioner is the first surgical robot to be made commercially available in the U.S. The company's newest product, the SOCRATES Socrates (sŏk`rətēz), 469–399 B.C., Greek philosopher of Athens. Famous for his view of philosophy as a pursuit proper and necessary to all intelligent men, he is one of the great examples of a man who lived by his principles even (TM) Telecollaboration System, facilitates surgeon collaboration using video and audio conferencing, shared control of the endoscopic camera, and video annotation on the surgical image in the operating room. The company's products are CE-Marked for commercial sale in the European Community. The company's Web site is www.ComputerMotion.com.

This press release contains forward-looking statements concerning the company's business and products. Actual results may differ materially depending on a number of risk factors, including the risks of competition and competing technologies, duration or suspension of clinical studies, regulatory clearances and approvals, and physician, hospital and payor acceptance of the company's products. These factors and other risks inherent in the company's business are described from time to time in the company's Securities and Exchange Commission filings, including its Annual Report on Form 10-K. The company undertakes no obligation to revise the forward-looking statements contained herein to reflect events or circumstances after the date hereof to reflect the occurrence of unanticipated events.

(a) American Heart Association American Heart Association (AHA),
n.pr a national voluntary health agency that has the goal of increasing public and medical awareness of cardiovascular diseases and stroke, and thereby reducing the number of associated deaths and disabilities.
, "Heart Disease and Stroke Statistics, 2003 Update"

RBOT-Santa Barbara
COPYRIGHT 2003 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Apr 2, 2003
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