Single-Port Robotic-Assisted Epicardial Lead Placement for Cardiac Resynchronization Therapy

Blaz Podgorsek; Philippe Tremblay; Danny Ramzy

doi:10.1016/j.atssr.2025.09.039

Single-Port Robotic-Assisted Epicardial Lead Placement for Cardiac Resynchronization Therapy

Ann Thorac Surg Short Rep. 2025 Nov 7;4(1):69-71. doi: 10.1016/j.atssr.2025.09.039. eCollection 2026 Mar.

Authors

Blaz Podgorsek¹, Philippe Tremblay², Danny Ramzy¹

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, University of Texas McGovern Medical School, Houston, Texas.
² Division of Cardiothoracic Surgery, Corewell Health, Grand Rapids, Michigan.

Abstract

We present a case demonstrating the novel use of the da Vinci SP (single-port) robotic platform (Intuitive Surgical) in cardiac surgery. A 69-year-old man with ischemic cardiomyopathy and failed endovascular cardiac resynchronization therapy defibrillator lead placement underwent successful robotically assisted left ventricular epicardial lead implantation through a 4-cm minithoracotomy. The da Vinci SP system enhanced visualization and dexterity, thus allowing for precise lead placement with minimal invasiveness. The patient recovered uneventfully and remained stable at follow-up. This case highlights the feasibility and potential advantages of single-port robotic-assisted cardiac procedures in select patients.

Publication types

Case Reports