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

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Advancing the Treatment Paradigm for Multivessel Coronary Artery Disease: Hybrid Coronary Revascularization. 推进多支冠状动脉疾病的治疗范式:混合型冠状动脉重建术。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-02 DOI: 10.1177/15569845241311292
Parth M Patel, Ryon L Arrington, Amalia Jonsson, Jane W Wei, Jose Binongo, Chandan Devireddy, William Nicholson, Wissam Jaber, Stephane Rinfret, Michael E Halkos
{"title":"Advancing the Treatment Paradigm for Multivessel Coronary Artery Disease: Hybrid Coronary Revascularization.","authors":"Parth M Patel, Ryon L Arrington, Amalia Jonsson, Jane W Wei, Jose Binongo, Chandan Devireddy, William Nicholson, Wissam Jaber, Stephane Rinfret, Michael E Halkos","doi":"10.1177/15569845241311292","DOIUrl":"10.1177/15569845241311292","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the longitudinal safety and efficacy of hybrid coronary revascularization (HCR) in a large cohort of patients with multivessel coronary artery disease (CAD).</p><p><strong>Methods: </strong>From 2009 to 2020, 561 consecutive patients (median age 64.0 years, predicted risk of mortality 1.3% ± 1.8%, 403 with 2-vessel disease and 158 with 3-vessel disease) underwent a planned HCR procedure with a robot-assisted off-pump left internal mammary artery to left anterior descending (LIMA-LAD) coronary artery bypass graft (CABG) combined with percutaneous coronary intervention (PCI) of non-LAD vessels. Multivariable regression analysis was used to identify risk factors for short-term and longer-term outcomes.</p><p><strong>Results: </strong>Operative mortality and stroke occurred in 4 (0.7%) and 5 patients (0.9%), respectively. Postoperative angiography revealed LIMA patency in 415 of 425 patients (98%). Median follow-up was 4.5 years and was 93% complete. Repeat revascularization occurred in 44 patients (8%) at a median of 2.7 years. Freedom from repeat revascularization and survival at 5 years was similar between patients with 2-vessel and 3-vessel disease (<i>P</i> = 0.73 and <i>P</i> = 0.19, respectively). Completely revascularized patients had 5-year survival of 91% versus 64% for incompletely revascularized patients (hazard ratio = 3.8, <i>P</i> < 0.001). Age (<i>P</i> = 0.03), renal failure (<i>P</i> < 0.001), and history of myocardial infarction (<i>P</i> = 0.01) were risk factors for late adverse events.</p><p><strong>Conclusions: </strong>HCR is a safe and effective minimally invasive alternative to conventional CABG or multivessel PCI with a low incidence of late repeat revascularization and mortality. HCR can be safely applied to carefully selected patients with either 2-vessel or 3-vessel CAD; however, incomplete revascularization may result in lower long-term survival.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"57-64"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079647","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
Do Right in the Left (Chest): Considering the Role of Adjunct Left Atrial Appendage Ligation During Lung Cancer Resection. 左行右(胸):考虑辅助左心耳结扎在肺癌切除术中的作用。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-20 DOI: 10.1177/15569845241309635
Zach M DeBoard, Nishith N Patel
{"title":"Do Right in the Left (Chest): Considering the Role of Adjunct Left Atrial Appendage Ligation During Lung Cancer Resection.","authors":"Zach M DeBoard, Nishith N Patel","doi":"10.1177/15569845241309635","DOIUrl":"10.1177/15569845241309635","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"10-12"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467962","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
Novel Treatment of Palmar Hyperhidrosis With Robotic Hybrid Cryoablation Sympathectomy. 机器人混合冷冻消融交感神经切除术治疗手掌多汗症的新方法。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2024-12-30 DOI: 10.1177/15569845241298256
Taoyuan Beninato, Kristen Kent, Pauline H Go
{"title":"Novel Treatment of Palmar Hyperhidrosis With Robotic Hybrid Cryoablation Sympathectomy.","authors":"Taoyuan Beninato, Kristen Kent, Pauline H Go","doi":"10.1177/15569845241298256","DOIUrl":"10.1177/15569845241298256","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":"20 1","pages":"106-108"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Postinfarction Ventricular Septal Defect Repair Through the Left Minithoracotomy. 通过左小开胸术修复急性梗死后室间隔缺损。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1177/15569845241311598
Oleksandr Babliak, Dmytro Babliak, Yevhenii Melnyk, Katerina Revenko, Oleksii Stohov
{"title":"Acute Postinfarction Ventricular Septal Defect Repair Through the Left Minithoracotomy.","authors":"Oleksandr Babliak, Dmytro Babliak, Yevhenii Melnyk, Katerina Revenko, Oleksii Stohov","doi":"10.1177/15569845241311598","DOIUrl":"10.1177/15569845241311598","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"104-105"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189137","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
Initial Experience of Left Atrial Appendage Ligation Using Penditure in a Minimally Invasive Cardiac Surgical Approach. 微创心脏手术入路左心耳导管结扎术的初步经验。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-12 DOI: 10.1177/15569845241311596
Olatoye Olutola, Yasir Abu-Omar, Gregory D Rushing
{"title":"Initial Experience of Left Atrial Appendage Ligation Using Penditure in a Minimally Invasive Cardiac Surgical Approach.","authors":"Olatoye Olutola, Yasir Abu-Omar, Gregory D Rushing","doi":"10.1177/15569845241311596","DOIUrl":"10.1177/15569845241311596","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"19-21"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407311","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
Three-Dimensional Lung Reconstructions for Preoperative Planning of Uniportal Video-Assisted Thoracoscopic Segmentectomies Using Visible Patient Software. 三维肺重建在单门静脉胸腔镜肺段切除术术前规划中的应用。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-19 DOI: 10.1177/15569845251315450
Iris E W G Laven, Geert H J M Verkoulen, Koen C H A Verkoulen, Aimée J P M Franssen, Lori M van Roozendaal, Michiel H M Gronenschild, Karel W E Hulsewé, Yvonne L J Vissers, Erik R de Loos
{"title":"Three-Dimensional Lung Reconstructions for Preoperative Planning of Uniportal Video-Assisted Thoracoscopic Segmentectomies Using Visible Patient Software.","authors":"Iris E W G Laven, Geert H J M Verkoulen, Koen C H A Verkoulen, Aimée J P M Franssen, Lori M van Roozendaal, Michiel H M Gronenschild, Karel W E Hulsewé, Yvonne L J Vissers, Erik R de Loos","doi":"10.1177/15569845251315450","DOIUrl":"10.1177/15569845251315450","url":null,"abstract":"<p><p>In this article, we present the use of 3-dimensional (3D) lung reconstructions performed by Visible Patient software and share our experience with the first 5 patients who were scheduled for a segmentectomy. These reconstructions provided useful insights into more accurate lung nodule locations, resulting in a preoperative change in the surgical plan in 3 of the 5 patients. In addition, surgeons were better prepared for surgery with the preoperative knowledge of anatomical variations identified in 4 patients. These findings highlight the critical role of preoperative 3D lung reconstructions in determining the appropriate surgical indication and refining the surgical plan when thoracoscopic segmentectomy is initially indicated.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"87-95"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457879","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
Combined Robotic Endoscopic Aortic Valve Replacement and Robotic Totally Endoscopic Coronary Bypass: Dual Case Report With 3-Year Follow-Up. 联合机器人内窥镜主动脉瓣置换术和机器人全内窥镜冠状动脉搭桥术:两例随访3年的报告。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-14 DOI: 10.1177/15569845241313465
Hiroto Kitahara, Sarah Nisivaco, Yazan AlJamal, Husam H Balkhy
{"title":"Combined Robotic Endoscopic Aortic Valve Replacement and Robotic Totally Endoscopic Coronary Bypass: Dual Case Report With 3-Year Follow-Up.","authors":"Hiroto Kitahara, Sarah Nisivaco, Yazan AlJamal, Husam H Balkhy","doi":"10.1177/15569845241313465","DOIUrl":"10.1177/15569845241313465","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"109-110"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425261","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 Thoracoscopic Surgery Can Be Safely Performed in Patients With Obesity from the Early Stages of Implementation. 机器人辅助胸腔镜手术从实施的早期阶段就可以安全地用于肥胖患者。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1177/15569845241311320
Hiroyuki Tao, Shohei Waki, Mao Yoshikawa, Yujiro Kubo, Hisao Mizutani
{"title":"Robot-Assisted Thoracoscopic Surgery Can Be Safely Performed in Patients With Obesity from the Early Stages of Implementation.","authors":"Hiroyuki Tao, Shohei Waki, Mao Yoshikawa, Yujiro Kubo, Hisao Mizutani","doi":"10.1177/15569845241311320","DOIUrl":"10.1177/15569845241311320","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the perioperative outcomes of robot-assisted thoracoscopic surgery (RATS) and conventional video-assisted thoracoscopic surgery (VATS) for lung cancer in patients with obesity.</p><p><strong>Methods: </strong>Anatomical pulmonary lobectomy or segmentectomy performed at a single institution from April 2018 to September 2023 in patients with obesity (body mass index ≥25 kg/m<sup>2</sup>) were statistically compared in terms of perioperative clinical factors including operative time, blood loss, chest tube duration, pain score, intraoperative events, and early postoperative complications between RATS and VATS.</p><p><strong>Results: </strong>In all, 89 patients were evaluated; 43 underwent RATS and 46 underwent VATS. All RATS procedures were performed using the da Vinci Xi system. Patient characteristics were comparable between the 2 groups. The operative time, blood loss, number of dissected lymph nodes, intraoperative events, and conversion rate to open thoracotomy were similar between the 2 groups. The frequencies of postoperative complications and chest tube placement duration between the groups were also similar. The median pain scores were slightly higher in the RATS group on postoperative day 1 but were equivalent between the 2 groups on postoperative day 7. The RATS group had a shorter postoperative hospital stay than the VATS group (<i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>A surgical team proficient in conventional VATS can safely introduce RATS in patients with obesity and lung cancer with equivalent perioperative outcomes.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"33-38"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189088","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
Periareolar Cardiac Surgery in Patients With Breast Implants: How to Do It. 乳房植入患者的乳晕周围心脏手术:如何做。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1177/15569845241311592
Eric E Vinck, Mónica M García, Juan C Rendón, José J Escobar
{"title":"Periareolar Cardiac Surgery in Patients With Breast Implants: How to Do It.","authors":"Eric E Vinck, Mónica M García, Juan C Rendón, José J Escobar","doi":"10.1177/15569845241311592","DOIUrl":"10.1177/15569845241311592","url":null,"abstract":"<p><p>Minimally invasive cardiac surgery has progressed from small thoracotomies to endoscopic and robotic surgeries. Here we present a periareolar approach in patients with breast implants. This technique involves both cardiac and plastic surgeons in response to a more cosmetically conscious population along with the benefits of avoiding the sternum. In elective cases, myxoma removals, atrial septal defect closures, and mitral valve surgeries can be performed in patients with previous breast prosthesis using a periareolar technique.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"96-101"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189142","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
Outcomes of Suction Debulking and Surgery in Patients With Isolated Tricuspid Valve Endocarditis. 孤立性三尖瓣心内膜炎患者的吸积和手术效果。
IF 1.6
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-01-01 Epub Date: 2025-01-24 DOI: 10.1177/15569845241298283
Roshan D Modi, Hiroki A Ueyama, Andy Tully, Isida Byku, Adam B Greenbaum, Joe X Xie, Patrick T Gleason, Mani Daneshmand, Vasilis C Babaliaros, Brent Keeling
{"title":"Outcomes of Suction Debulking and Surgery in Patients With Isolated Tricuspid Valve Endocarditis.","authors":"Roshan D Modi, Hiroki A Ueyama, Andy Tully, Isida Byku, Adam B Greenbaum, Joe X Xie, Patrick T Gleason, Mani Daneshmand, Vasilis C Babaliaros, Brent Keeling","doi":"10.1177/15569845241298283","DOIUrl":"10.1177/15569845241298283","url":null,"abstract":"<p><strong>Objective: </strong>Percutaneous vegetation debulking has been reported to treat tricuspid valve infective endocarditis (TVIE), but data on feasibility compared with conventional surgical strategies are limited. We aimed to compare short-term outcomes of suction debulking with partial venovenous bypass to conventional open surgery in this population.</p><p><strong>Methods: </strong>This was a single-center, retrospective study that included all patients with isolated TVIE who underwent suction debulking with partial venovenous bypass or tricuspid valve surgery between January 2010 and December 2022. Patient characteristics, procedural data, and clinical outcomes were compared.</p><p><strong>Results: </strong>Of the 45 patients included, 16 (35.6%) underwent suction debulking and the remainder (64.4%) underwent surgery. Baseline characteristics were comparable, including high rates of preprocedure hemodialysis (11.1%), prior infectious endocarditis (44.4%), intravenous drug use (60.0%), presence of tricuspid bioprostheses (24.4%), and septic shock (40.0%). Suction debulking had a shorter procedure time than surgery (206 [176 to 224] min vs 400 [325 to 487] min, <i>P</i> < 0.001) and was associated with numerically lower rates of various complications including acute kidney injury requiring hemodialysis, limb ischemia, and dysrhythmia requiring pacemaker. Over a mean follow-up period of 473 ± 604 days, recurrent endocarditis (37.5% vs 17.2%, <i>P</i> = 0.25) and the need for reintervention (50.0% vs 17.2%, <i>P</i> = 0.048) were higher with suction debulking. However, all-cause mortality was similar between the groups (12.5% vs 10.3%, <i>P</i> > 0.99).</p><p><strong>Conclusions: </strong>Suction debulking can safely be performed in patients with isolated TVIE with shorter procedural times and similar midterm all-cause mortality compared with surgery. Suction debulking may be appropriate initial therapy for this complex population.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"39-47"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033088","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
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