1. Patient Recovery After Robotic Assisted vs. Traditional CABG 1) A Comparative Effectiveness Trial of Exercise Tolerance (CPX) after Surgery 2) Multicenter Registry to Document Early QOL and time to return to work CASE REPORT FORMS www.smartsmsmarketing.com

2. CONTACT INFORMATION Univ of ChicagoPranjal Desai drpranjaldesai@gmail.com Robert Poston postonlab@gmail.com Cell 617-610-0126 Gary Balady Univ of Toledo Jena.Donovan@utoledo.edu; contract andria.powell@utoledo.edu andria.powell@utoledo.edu 419-383-6915 Thomas Schwann Thomas.Schwann@utoledo.edu 419 383-5150 office 860 841-8258 cell Dr. Badenhop dalynn.badenhop@utoledo.edu Lennox HillJoan Jennings jjennings@lenoxhill.net Nirav Patel NIPatel@LENOXHILL.NET Univ of MarylandJohannes Bonatti jbonatti@smail.umaryland.edu 4438349124 Aldo Iacono aiacono@umaryland.edu Intuitive Cyprian Okafor Legal representative Myriam Curet Center for Clinical Trials (CCT) U Maryland D Murray Dmurr002@umaryland.edu 410-706-5638 Jeanne Galvin-Clarke jclarke@umaryland.edu Tessie Langreo billing analysis and budget, tlangreo@umaryland.e du STUDY SITE STUDY COORDINATORS SURGEON-PI CPX TESTING MD

3. Site ID# Univ of Maryland: UM Univ of Toledo: UT Lennox Hill: LH Univ of Chicago: UC Sam Balkey: SB St. Joseph’s: SJ Lankenau Hospital: LH Patient ID# Univ of Toledo: numbers will range from 1-70 Univ of Maryland, Good Samaritan, Lennox Hill, Univ of Chicago: numbers for CPX study will range from 1-20 All registry participants: numbers will range from 1-100 Study subject ID: Site ID# - Patient ID# (e.g. UM-04)

4. *Zipcode very important to estimate income

24. *For CPX study Data not part of the STS requirement

26. *For CPX and registry Based on phone interview at 1 year Data not part of the STS requirement

27. For CPX and Registry Data not part of the STS requirement

28. Collection of flow tracing *CPX study and registry: Electonic file to be downloaded online Data not part of the STS requirement

29. Collection of Cerebral Oximetry Tracings *For CPX and Registry participants that use cerebral oximetry Data not part of the STS requirement

30. Intubation billateral IMA harvesting LIMA to LAD grafting RIMA to OM grafting Cerebral desaturation

31. *For CPX study and registry: obtained by interview at 3 weeks Data not part of the STS requirement

32. *For CPX study and registry: obtained by interview at 3 weeks Data not part of the STS requirement

33. *For Registry and CPX Data not part of the STS requirement

34. *For CPX study only Data not part of the STS requirement Biomarker values will be entered by core lab – serum samples sent by study sites

35. INTRAOPERATIVE GRAFT DATACT SCAN results Type of Conduit (LIMA, SVG…) Coronary target (LAD, OM…) Estimated Conduit Diameter (mm) Estimated Target Diameter (mm) Target Quality (Good/poor) Regional WMA (y/n) Graft Flow (cc/min )PI%DF Patent at 1 Week (y/n/not done) Patent at 6 Mo (y/n/not done) *For CPX and registry Data not part of the STS requirement

36. *For CPX study only Data not part of the STS requirement Collection of perioperative serum samples

37. Copyright ©2009 American Heart Association Myers, J. et al. Circulation 2009;119:3144-3161 Exercise Testing – Pre and Postop

38. Copyright ©2009 American Heart Association Myers, J. et al. Circulation 2009;119:3144-3161

39. Copyright ©2009 American Heart Association Myers, J. et al. Circulation 2009;119:3144-3161

40. RIMA LIMA LAD OM1 Follow-up CT angiography – 6 months