Psychomotor Car-Driving Abilities after Robotically Assisted Totally Endoscopic Coronary Artery Bypass Grafting

Martin Kopp; Angelika Knuenz; Franziska Oberascher; Nicole Pfaffenberger; Nicole Lucic; Gerhard Ruedl; Bernhard Holzner; Nikolaos Bonaros; Bonatti Johannes

doi:10.1055/s-0032-1322607

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2012; 60(07): 462-467
DOI: 10.1055/s-0032-1322607

Original Cardiovascular

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Psychomotor Car-Driving Abilities after Robotically Assisted Totally Endoscopic Coronary Artery Bypass Grafting

Martin Kopp

¹Department of Sport Science, University of Innsbruck, Innsbruck, Austria

,

Angelika Knuenz

²Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria

,

Franziska Oberascher

²Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria

,

Nicole Pfaffenberger

³Department of Psychiatry and Psychotherapy, Medical University of Innsbruck, Innsbruck, Austria

,

Nicole Lucic

³Department of Psychiatry and Psychotherapy, Medical University of Innsbruck, Innsbruck, Austria

,

Gerhard Ruedl

¹Department of Sport Science, University of Innsbruck, Innsbruck, Austria

,

Bernhard Holzner

³Department of Psychiatry and Psychotherapy, Medical University of Innsbruck, Innsbruck, Austria

,

Nikolaos Bonaros

²Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria

,

Bonatti Johannes

⁴Division of Cardiac Surgery, University of Maryland, Baltimore, Maryland, United States

› Author Affiliations

Abstract

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Abstract

Objective Postoperative cognitive decline is a common complication after coronary artery bypass graft surgery. As robotically assisted totally endoscopic coronary artery bypass grafting (TECAB) has shown several positive impacts on recovery and quality of life, the aim of this study was to assess psychomotor functioning relevant for car-driving abilities before and after this intervention.

Methods A total of 20 patients who underwent TECAB completed a neuropsychological test battery including conventional and computerized assessments [Trail Making Test (TMT A + B), Leeds Psychomotor Tester (LPT), Test System for Attentional Performance (TAP 2.1)] before surgery (T0) and 1 week (T1) and 3 months (T2) after surgery.

Results Data show no significant cognitive decline between T0, T1, and T2 following TECAB. Significant improvements were measured from T0 to T2 for psychomotoric function and visual attention (TMT A; p = 0.038) and for reaction time, which was significantly shorter after 3 months in comparison with T0 and T1; p = 0.001).

Conclusion Data of our preliminary study show no relevant cognitive decline caused from TECAB and therefore do not contradict the practice of early car driving after this procedure.

Keywords

coronary artery bypass crafting - minimally invasive cardiac surgery - cognitive functioning - driving ability

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References

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