Non-Robotic Endoscopic-Assisted Internal Mammary Artery Harvest-A Historical Review and Recent Advancements.

IF 2.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
De Qing Görtzen, Fleur Sampon, Joost Ter Woorst, Ferdi Akca
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引用次数: 0

Abstract

Background: The non-robotic endoscopic harvest of the internal mammary artery (IMA) facilitates minimally invasive bypass grafting while minimizing chest wall trauma. The technique was pioneered in the early 1990s and has recently regained popularity due to its accessibility and reproducibility. This review aims to provide an overview of endoscopic IMA harvest from its inception to the present. Methods: In August 2024, a literature search was performed using the electronic databases of the Cochrane Controlled Trials Register (CCTR) and PubMed. To obtain optimal search results, the keywords "thoracoscopic", "endoscopic", "minimally invasive", "video-assisted", "video-assisted thoracoscopic surgery VATS", and "internal mammary artery" or "internal thoracic artery" were used, excluding the term "robotic". References from the extracted articles were also reviewed to identify additional studies on endoscopic IMA harvest. Results: A total of 17 articles were included in the final analysis. Left internal mammary artery (LIMA) harvest times of between 17 and 164 min were reported, with an injury to LIMA rates between 0.7 and 2.2%. Conclusions: After a 15-year period without scientific publications, interest in the endoscopic-assisted approach has rekindled in recent years due to the reduction in chest trauma compared to direct vision harvest and the widespread availability of conventional endoscopic tools. This renewed focus underscores the potential to make minimally invasive coronary surgery available in all centers.

非机器人内窥镜辅助乳腺内动脉采集的历史回顾和最新进展。
背景:非机器人内窥镜采集乳腺内动脉(IMA)有助于微创旁路移植术,同时最大限度地减少胸壁创伤。该技术最早出现于20世纪90年代初,由于其可获得性和可重复性,最近又重新流行起来。这篇综述的目的是提供一个从开始到现在的内镜下IMA收获的概述。方法:于2024年8月使用Cochrane对照试验注册(CCTR)和PubMed电子数据库进行文献检索。为了获得最佳搜索结果,我们使用了关键词“胸腔镜”、“内窥镜”、“微创”、“视频辅助”、“视频辅助胸腔镜手术VATS”、“乳腺内动脉”或“胸腔内动脉”,不包括“机器人”。我们还回顾了所提取文章的参考文献,以确定内镜下IMA收获的其他研究。结果:共纳入17篇文章。据报道,左内乳动脉(LIMA)的收获时间在17到164分钟之间,LIMA的损伤率在0.7到2.2%之间。结论:经过15年没有科学出版物的时期后,由于与直接视觉收获相比胸部创伤的减少以及传统内窥镜工具的广泛可用,近年来对内窥镜辅助入路的兴趣重新燃起。这种重新关注强调了在所有中心实现微创冠状动脉手术的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cardiovascular Development and Disease
Journal of Cardiovascular Development and Disease CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
12.50%
发文量
381
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