[MSB-21] Minimally Invasive Tricuspid Valve Surgery Without Inferior Vena Cava Clamping.

IF 0.5 4区 医学 Q4 SURGERY
Deniz Günay, Cengiz Köksal
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引用次数: 0

Abstract

Objective: This study aimed to investigate the results of minimally invasive tricuspid valve surgery performed under vacuum assistance without inferior vena cava (IVC) clamping.

Methods: All 125 patients who underwent minimally invasive tricuspid valve surgery by the same surgical team between January 2023 and August 2024 were included in this study. Cannulation was performed peripherally, and the superior vena cava was clamped in all patients. The IVC was clamped in 112 patients (Group 1). In the remaining 13 patients (Group 2), vacuum assistance was used, and the IVC was not clamped during cardiopulmonary bypass. Operative success, morbidity and mortality rates, bleeding, and hemolysis were investigated in the postoperative period.

Results: The demographic characteristics were similar between groups. However, redo cases were more common in Group 2 compared to Group 1 (53.8% vs. 14.3%, p<0.01). A total of 121 mitral valve surgeries and 125 tricuspid valve surgeries were performed. The operation success rate was 100% in both groups. Operative mortality occurred in one patient in Group 1 (0.9%). Bleeding and other postoperative data were similar between the groups (p>0.05).

Conclusion: Minimally invasive tricuspid valve surgery can be safely performed by vacuum assistance without IVC clamping.

[MSB-21]无下腔静脉夹持的微创三尖瓣手术。
目的:探讨无下腔静脉夹持的真空辅助下微创三尖瓣手术的效果。方法:选取2023年1月至2024年8月同一外科团队行微创三尖瓣手术的125例患者为研究对象。所有患者均行外周插管,并夹紧上腔静脉。112例患者(第一组)夹持下腔静脉。其余13例(第二组)采用真空辅助,体外循环时不夹持下腔静脉。术后观察手术成功率、发病率和死亡率、出血和溶血情况。结果:两组患者人口学特征相似。然而,与1组相比,2组重做病例更常见(53.8%比14.3%,p0.05)。结论:在真空辅助下进行微创三尖瓣手术是安全的。
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
CiteScore
1.00
自引率
0.00%
发文量
98
审稿时长
3-8 weeks
期刊介绍: The Turkish Journal of Thoracic and Cardiovascular Surgery is an international open access journal which publishes original articles on topics in generality of Cardiac, Thoracic, Arterial, Venous, Lymphatic Disorders and their managements. These encompass all relevant clinical, surgical and experimental studies, editorials, current and collective reviews, technical know-how papers, case reports, interesting images, How to Do It papers, correspondences, and commentaries.
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