Miriam Silaschi, André Späth, Marwan Hamiko, Jacqueline Kruse, Ömür Akhavuz, Saad Salamate, Ali El Sayed Ahmad, Farhad Bakhtiary
{"title":"Proposal for Valve Sizing, Prosthesis Simulation, and Procedure Planning Based on Computed Tomography in Endoscopic Mitral Valve Surgery.","authors":"Miriam Silaschi, André Späth, Marwan Hamiko, Jacqueline Kruse, Ömür Akhavuz, Saad Salamate, Ali El Sayed Ahmad, Farhad Bakhtiary","doi":"10.1177/15569845251330863","DOIUrl":null,"url":null,"abstract":"<p><p>In endoscopic mitral valve repair and replacement, direct valve sizing is impractical because skin incisions have become very small and do not fit traditional sizers. Until now, procedure planning using dedicated computed tomography (CT) software has not been the standard of care. However, proper CT analysis can help anticipate procedural challenges and enhance procedure planning in endoscopic mitral valve surgery. Cannulation and valve implantation strategy may be chosen, risk of injury to the circumflex artery as well as left ventricular outflow tract obstruction may be anticipated, and digital phantoms of surgical prostheses may be simulated inside the annulus. We propose digital simulation and procedure planning for surgeons by CT-based reconstructions.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251330863"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15569845251330863","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
In endoscopic mitral valve repair and replacement, direct valve sizing is impractical because skin incisions have become very small and do not fit traditional sizers. Until now, procedure planning using dedicated computed tomography (CT) software has not been the standard of care. However, proper CT analysis can help anticipate procedural challenges and enhance procedure planning in endoscopic mitral valve surgery. Cannulation and valve implantation strategy may be chosen, risk of injury to the circumflex artery as well as left ventricular outflow tract obstruction may be anticipated, and digital phantoms of surgical prostheses may be simulated inside the annulus. We propose digital simulation and procedure planning for surgeons by CT-based reconstructions.
期刊介绍：
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery
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