Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献

Optimal Suction Strategy After Pulmonary Resection Using a Digital Drainage System With a Single Blake Drain: A Randomized Study. 单布莱克引流的数字引流系统肺切除术后的最佳吸引策略：一项随机研究。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-31 DOI: 10.1177/15569845251342253

Conor M Maxwell, Benny Weksler, Kevin Shahbahrami, Brent Williams, Kurt DeHaven, Pam Kuchta, Kara Specht, Hiran C Fernando

{"title":"Optimal Suction Strategy After Pulmonary Resection Using a Digital Drainage System With a Single Blake Drain: A Randomized Study.","authors":"Conor M Maxwell, Benny Weksler, Kevin Shahbahrami, Brent Williams, Kurt DeHaven, Pam Kuchta, Kara Specht, Hiran C Fernando","doi":"10.1177/15569845251342253","DOIUrl":"https://doi.org/10.1177/15569845251342253","url":null,"abstract":"Objective: Chest tube management after pulmonary resection is not standardized. Surgeons vary regarding the use of suction versus water seal, single versus multiple drains, drain type, and drainage threshold before removal. A randomized study was undertaken comparing standard suction (SS) of -20 cmH2O to low suction (LS) of -8 cmH2O using digital drainage systems. The primary aim was to demonstrate a shorter duration of air leak with LS. Secondary aims included chest tube duration, length of stay between arms, and the effectiveness of using a single 24 Fr Blake (channel) drain.Methods: Patients scheduled for minimally invasive lung resection were eligible. The threshold for tube removal was a drainage volume of ≤450 mL/24 h and air leak of ≤20 mL/min over 6 h.Results: A total of 148 patients were eligible (76 SS and 72 LS). There were no differences in baseline characteristics. The duration of air leak (0.9 vs 1.2 days), chest tube duration (2.1 vs 2.1 days), hospital stay (2 vs 2 days), and prolonged air leak incidence (8% vs 11%) were not significantly different. In LS patients, there were more pleural interventions required (11% vs 3%, P = 0.05) and a trend for more subcutaneous emphysema (14% vs 4%) on chest x-ray before chest tube removal.Conclusions: The routine use of a 24 Fr Blake drain and a drainage threshold of 450 cc/24 h for chest tube removal was safe and effective. We found no advantage of LS. However, more pleural interventions were required and a trend for increased subcutaneous emphysema with LS was found, suggesting SS may be preferred when an air leak is present.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251342253"},"PeriodicalIF":1.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MENDing Recovery: Comprehensive Perioperative Care Cuts Hospital Stay After Minimally Invasive CABG. 修复恢复：综合围手术期护理减少微创冠脉搭桥术后住院时间。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-31 DOI: 10.1177/15569845251361492

Christine Ashenhurst, Omar Toubar, Menaka Ponnambalam, Roy Masters, Ming Hao Guo, Hugo Issa, Marc Ruel

{"title":"MENDing Recovery: Comprehensive Perioperative Care Cuts Hospital Stay After Minimally Invasive CABG.","authors":"Christine Ashenhurst, Omar Toubar, Menaka Ponnambalam, Roy Masters, Ming Hao Guo, Hugo Issa, Marc Ruel","doi":"10.1177/15569845251361492","DOIUrl":"https://doi.org/10.1177/15569845251361492","url":null,"abstract":"Objective: To evaluate the impact of a novel multidisciplinary initiative, known as the Multimodal ENhanced Discharge (MEND), on length of stay (LOS) for patients undergoing minimally invasive coronary artery bypass grafting (MICS CABG).Methods: The MEND program aims to optimize the patient's preoperative condition and increase preparedness, provide individualized perioperative care, and ensure early postdischarge follow-up to support active recovery and facilitate early discharge. This single-center, retrospective analysis reviewed LOS and readmission data for 198 consecutive patients who underwent MICS CABG by a single surgeon. Of these, 91 patients received routine care (RC) and 107 patients received care through the MEND program.Results: The median ward (non-intensive care unit) LOS was significantly shorter by 33% in the MEND group versus the RC group (2 vs 3 days, P < 0.001), resulting in a 40% shorter median total hospital LOS in the MEND group versus the RC group (2 vs 5 days, P < 0.001). Readmission rates were 14.3% for RC and 6.6% in the MEND group (P = 0.12).Conclusions: Implementation of the MEND program in patients undergoing MICS CABG was associated with significantly shorter overall hospital LOS without an increase in readmission rates. No statistically significant differences in baseline characteristics between the RC and MEND cohorts were observed. These findings suggest MEND is an effective and generalizable program for optimizing recovery. Ultimately, this model of care has the potential to positively affect health care costs, improve surgical wait times, and expand capacity in MICS CABG programs.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251361492"},"PeriodicalIF":1.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robot-Assisted Segmentectomy: A Way Forward or Evidence Still in Evolution? 机器人辅助节段切除术：前进的道路还是证据仍在进化中？

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-31 DOI: 10.1177/15569845251360759

Pradeep Narayan

引用次数: 0

The 7 Pillars of Pain Management for Minimally Invasive Cardiac Surgery. 微创心脏手术疼痛管理的七大支柱。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-27 DOI: 10.1177/15569845251358225

Alexander J Gregory, Christopher D Noss, William D T Kent, Corey Adams, Rakesh C Arora, Rawn Sallenger

引用次数: 0

How I Do It: Zone 2 Arch With Sequential Single-Branch TEVAR for Acute Type A Aortic Dissection. 我怎么做：2区弓与顺序单支TEVAR急性A型主动脉夹层。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-14 DOI: 10.1177/15569845251352817

John J Kelly, Brittany J Cannon, Grace J Wang, Nimesh D Desai

引用次数: 0

Beating Versus Arrested Heart Technique for Isolated Tricuspid Valve Surgery: A Meta-Analysis of Reconstructed Time-to-Event Data. 孤立三尖瓣手术的搏动与停搏技术：重建时间-事件数据的荟萃分析。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-07-06 DOI: 10.1177/15569845251351904

Tulio Caldonazo, Hristo Kirov, Isabel Niedworok, Angelique Runkel, Johannes Fischer, Murat Mukharyamov, Torsten Doenst

{"title":"Beating Versus Arrested Heart Technique for Isolated Tricuspid Valve Surgery: A Meta-Analysis of Reconstructed Time-to-Event Data.","authors":"Tulio Caldonazo, Hristo Kirov, Isabel Niedworok, Angelique Runkel, Johannes Fischer, Murat Mukharyamov, Torsten Doenst","doi":"10.1177/15569845251351904","DOIUrl":"https://doi.org/10.1177/15569845251351904","url":null,"abstract":"Objective: Isolated tricuspid valve (TV) surgery remains underused despite guideline recommendations. This underuse may be related to perceived high risk in comorbid patients but also to high reported needs for postoperative permanent pacemaker implantation (PPI). It is conceivable that PPI can be prevented by operating on the beating heart (BH). We conducted a systematic review and meta-analysis assessing the influence of BH versus arrested heart (AH) technique on short-term and long-term outcomes after isolated TV surgery with a specific focus on PPI requirements.Methods: Three databases were assessed. The primary outcome was the rate of postoperative PPI. Secondary endpoints included short-term and long-term survival, cardiopulmonary bypass (CPB) and procedural duration, intensive care unit (ICU) and hospital stay, and postoperative stroke incidence. Hazard ratios, odds ratios, and 95% confidence intervals were calculated. A pooled Kaplan-Meier survival curve after reconstruction analysis was generated for the endpoint of long-term survival. Random-effects models were used.Results: A total of 1,157 studies were identified. Six observational studies from different countries were included in the analysis. The cohorts receiving either BH or AH technique for isolated TV surgery showed no significant differences in the rate of PPI (range: 6.3% to 18.2%) or any secondary outcomes, including short-term and long-term survival, CPB and procedural duration, ICU and hospital stay, or stroke incidence.Conclusions: Our meta-analysis suggests that performing TV surgery on the BH is not likely to be associated with a reduced risk of postoperative PPI or with different incidences of major clinical endpoints.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251351904"},"PeriodicalIF":1.6,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The 10 Commandments of Robotic Bilateral Internal Thoracic Artery Harvesting. 机器人双侧胸内动脉采集的十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-06-30 DOI: 10.1177/15569845251350280

Hugo Monteiro Neder Issa, Andres Parisi, Daniel Goubran, Marc Ruel

引用次数: 0

The 10 Commandments of On-Table Extubation After Cardiac Surgery: Why and How to Increase Adoption. 心脏手术后桌上拔管的十诫：为什么以及如何增加采用。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-06-30 DOI: 10.1177/15569845251348231

Pietro Giorgio Malvindi, Paolo Berretta, Christopher Munch, Marco Di Eusanio

引用次数: 0

Outcomes of 3-Dimensional Total Endoscopic Surgery for Partial Atrioventricular Septal Defect in Children: A Single-Center Experience in Vietnam. 三维全内窥镜手术治疗儿童部分房室间隔缺损的结果：越南的单中心经验。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-06-30 DOI: 10.1177/15569845251351945

Tien Anh Do, Tran-Thuy Nguyen, Minh Ngoc Le, Thanh Ngoc Le

{"title":"Outcomes of 3-Dimensional Total Endoscopic Surgery for Partial Atrioventricular Septal Defect in Children: A Single-Center Experience in Vietnam.","authors":"Tien Anh Do, Tran-Thuy Nguyen, Minh Ngoc Le, Thanh Ngoc Le","doi":"10.1177/15569845251351945","DOIUrl":"https://doi.org/10.1177/15569845251351945","url":null,"abstract":"Objective: To assess the midterm outcomes and feasibility of using 3-dimensional total endoscopic surgery (3D TES) for complete correction of partial atrioventricular septal defect (PAVSD) in children.Methods: A descriptive study from January 2018 to June 2024 involved 20 patients with PAVSD who underwent surgical repair using 3D TES. The average patient age and average weight were 9.1 (range: 4 to 15) years and 25.02 kg, respectively. Mitral valve regurgitation was classified as mild in 2 patients, moderate in 12, and severe in 6, whereas tricuspid valve regurgitation was mild in 13 patients and moderate in 7.Results: Peripheral circulation was established in all patients. Cardiopulmonary bypass and aortic cross-clamp times were 86.2 min and 142.2 min, respectively. The mechanical ventilation time averaged 4.9 h. Postoperative echocardiography included complete closure of the atrial septal defect, with mild mitral valve regurgitation in 16 patients and no regurgitation in 4. Tricuspid valve regurgitation was mild in 11 patients, and 9 patients had no regurgitation. During an average postoperative follow-up period of 3.35 years, there were no mortalities or cases requiring reoperation.Conclusions: The 3D TES demonstrates feasibility, safety, and efficacy in treating PAVSD in children, with apparent aesthetic advantages.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251351945"},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic Mitral Valve Replacement With Balloon-Expandable Valve Using Fibrillatory Arrest. 机器人二尖瓣置换术与球囊扩张瓣膜使用纤颤停搏。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-06-23 DOI: 10.1177/15569845251348209

David Zapata, Douglas Anderson, Kevin Ho, Dana McCloskey, Reney Henderson, Bradley Taylor

引用次数: 0