Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第2页

A Risk Prediction Model for Prolonged Length of Stay After Minimally Invasive Valve Surgery. 微创瓣膜手术后住院时间延长的风险预测模型。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-29 DOI: 10.1177/15569845241289429

Vito D Bruno, Bleri Celmeta, Tommaso Viva, Arturo Bisogno, Antonio Miceli, Mattia Glauber

{"title":"A Risk Prediction Model for Prolonged Length of Stay After Minimally Invasive Valve Surgery.","authors":"Vito D Bruno, Bleri Celmeta, Tommaso Viva, Arturo Bisogno, Antonio Miceli, Mattia Glauber","doi":"10.1177/15569845241289429","DOIUrl":"https://doi.org/10.1177/15569845241289429","url":null,"abstract":"Objective: Minimally invasive surgery determines shorter postoperative hospital length of stay (LOS) even in cardiac surgery. Potential preoperative factors affecting LOS are still not known in minimally invasive heart valve surgery (MIVS). We aimed to identify preoperative variables influencing prolonged LOS in MIVS.Methods: We reviewed 189 patients who underwent MIVS via minithoracotomy at our institution. Prolonged LOS was defined as more than 7 postoperative days. Poisson and logistic regression were used to screen the predictors.Results: The mean postoperative LOS was 9.13 days, and 64 patients (33.9%) experienced a prolonged LOS. These patients were older, more frequently in New York Heart Association (NYHA) class III or IV, showed worse left ventricular ejection function (LVEF), and had a higher incidence of reoperation and chronic kidney disease (CKD). At univariate analysis, the most significant preoperative factors affecting prolonged LOS were age (odds ratio [OR] = 1.04), NYHA class III or IV (OR = 3.03), reduced LVEF (OR = 3.22), CKD (OR = 2.7), and redo surgery (OR = 3.6). After adjustment, the most significant preoperative factors predicting prolonged LOS were age (OR = 1.03, 95% CI: 1.01 to 1.06, P = 0.02) and redo surgery (OR = 3.33, 95% CI: 1.29 to 8.9, P = 0.01).Conclusions: The most important factors affecting prolonged LOS after MIVS were represented by age and redo surgery, although other preoperative characteristics such as reduced LVEF, NYHA class III or IV, and CKD play a significant role in delaying recovery after MIVS. Further larger studies are needed to better identify potential preoperative predictors of prolonged LOS after MIVS.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241289429"},"PeriodicalIF":1.6,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545301","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

Safe Training Method for ITA Harvesting via Median Sternotomy in Minimally Invasive Coronary Artery Bypass Surgery Using Harmonic Scalpel. 使用谐波手术刀在微创冠状动脉搭桥手术中通过正中静脉切开术采集 ITA 的安全训练方法

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-29 DOI: 10.1177/15569845241290240

Keita Kikuchi, Kunihiko Yoshino, Hiroki Sakai, Yoshun Sai, Kaito Masuda, Joji Ito

引用次数: 0

Dealing With the Aortic Annulus: Surgical Aortic Annulus Enlargement With a Balloon Catheter. 处理主动脉瓣环：使用球囊导管手术扩大主动脉瓣环。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-29 DOI: 10.1177/15569845241288550

Andre Luiz Tyszka, Alexandro Jose Jorge, Harissa El Ghoz

引用次数: 0

Development and Validation of a Low-Cost, High-Fidelity Simulation Model for Robotic Internal Mammary Artery Harvest Using the da Vinci Xi Robot. 使用达芬奇Xi机器人进行机器人乳腺内动脉采集的低成本、高保真模拟模型的开发与验证。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-29 DOI: 10.1177/15569845241286012

Syed Faaz Ashraf, Laura Seese, Irsa S Hasan, Ashok N Babu, Husam H Balkhy, Bob B Kiaii, T Sloane Guy, David J Kaczorowski, Johannes Bonatti

{"title":"Development and Validation of a Low-Cost, High-Fidelity Simulation Model for Robotic Internal Mammary Artery Harvest Using the da Vinci Xi Robot.","authors":"Syed Faaz Ashraf, Laura Seese, Irsa S Hasan, Ashok N Babu, Husam H Balkhy, Bob B Kiaii, T Sloane Guy, David J Kaczorowski, Johannes Bonatti","doi":"10.1177/15569845241286012","DOIUrl":"https://doi.org/10.1177/15569845241286012","url":null,"abstract":"Objective: We created and validated a low-cost simulation model for robotic internal mammary artery (IMA) takedown.Methods: The simulation model utilized a calf fetus thorax cavity stented open internally and secured to a table. The simulation model was validated at a 2-day robotic cardiac surgery workshop. Each participant harvested one IMA using the da Vinci Xi robot (Intuitive Surgical, Sunnyvale, CA, USA). We compared participant self-reported confidence at robotic IMA harvest before and after using the simulator.Results: Our novel thorax-securing strategy resulted in a stable structure and allowed access to both IMAs from the same 3 ports. The cost to set up the first simulation model was $176 and $133 for every subsequent model. Fifty participants used the simulation model: 42 cardiothoracic surgery attendings and 8 fellows or residents. The feedback form response rate was 78% (n = 39). On the Likert scale, participants rated realism of the calf model to simulate robotic IMA harvesting (0 = not realistic, 10 = highly realistic) with a median of 8 out of 10 (interquartile range [IQR] 7 to 9). Participant confidence (0 = not at all confident, 10 = very confident) in robotic IMA harvesting before and after using the simulator increased (P = 0.001) from a median of 5 (IQR 1 to 7) to 9 (IQR 7 to 10).Conclusions: This robotic IMA harvest simulation model is affordable, realistic, and improved participant confidence in robotic IMA harvest. It may provide a valuable training tool for surgeons learning robotic coronary bypass surgery and allows for training frequency necessary to pass basic learning curves.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241286012"},"PeriodicalIF":1.6,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545303","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

Long-Term Outcomes of Minimally Invasive Endoscopic Versus Sternotomy Surgical Resection of Primary Cardiac Tumors. 原发性心脏肿瘤微创内窥镜手术切除术与缝合手术切除术的长期疗效比较

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-29 DOI: 10.1177/15569845241289132

Nader S Aboelnazar, Brandon R Loshusan, Michael W A Chu

{"title":"Long-Term Outcomes of Minimally Invasive Endoscopic Versus Sternotomy Surgical Resection of Primary Cardiac Tumors.","authors":"Nader S Aboelnazar, Brandon R Loshusan, Michael W A Chu","doi":"10.1177/15569845241289132","DOIUrl":"https://doi.org/10.1177/15569845241289132","url":null,"abstract":"Objective: Primary cardiac tumors are uncommon, often benign, but can be potentially life threatening. Minimally invasive endoscopic (ENDO) techniques have been shown to be a feasible alternative for tumor resection compared with conventional sternotomy (CS). This study compared the clinical and surgical outcomes of a small series of patients undergoing cardiac tumor resection operations.Methods: Between November 2009 and December 2022, 34 consecutive patients underwent cardiac tumor resection using either ENDO (n = 21) or CS (n = 13) techniques. We compared early perioperative outcomes, echocardiographic outcomes, and long-term clinical and tumor recurrence outcomes.Results: Baseline characteristics were similar between groups; however, the ENDO group included younger patients (56 ± 16 vs 62 ± 17 years) and more female patients (83% vs 53%). The tumor was located in the left atrium (n = 19, 56%), right atrium (n = 5, 15%), or either ventricle (n = 4, 12%). In-hospital mortality and stroke frequency were similar for both groups (n = 0). There was no significant difference in cardiopulmonary bypass or cross-clamp times, respiratory or renal failure, or intensive care unit or hospital lengths of stay. At follow-up (ENDO, 42 [2 to 131] months vs CS, 54 [1 to 156] months), there were no deaths in the ENDO group and 2 patients died in the CS group (P = 0.21). No patients in either group experienced tumor recurrence.Conclusions: In selected patients, both ENDO and CS approaches to primary cardiac tumor resection were safe, effective, durable, and associated with similarly good early and late results.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241289132"},"PeriodicalIF":1.6,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545304","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

Self-Adjusting Atrial and Subvalvular Exposure System for Robotic Surgery. 用于机器人手术的自动调节心房和瓣下暴露系统

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-26 DOI: 10.1177/15569845241287769

Yosuke Takahashi, Akimasa Morisaki, Kenta Nishiya, Goki Inno, Takumi Kawase, Yukihiro Nishimoto, Munehide Nagao, Kazuki Noda, Ryo Nangoya, Toshihiko Shibata

引用次数: 0

Totally Endoscopic Valve-in-Valve Procedure: Implantation of Perceval Prosthesis in Trifecta Ring. 全内窥镜瓣中瓣手术：在三叉环中植入 Perceval 支架。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-24 DOI: 10.1177/15569845241288815

Silke Van Genechten, Jade Claessens, Alaaddin Yilmaz

引用次数: 0

Augmented Reality-Supported Totally Thoracoscopic Epicardial Left Atrial Appendage Closure in a Patient With Liver Cirrhosis. 在一名肝硬化患者身上应用增强现实技术支持的全胸腔镜心外膜左房阑尾闭合术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-09 DOI: 10.1177/15569845241277488

Eleonora Costagliola, Eluisa La Franca, Salvatore Pasta, Manlio Cipriani, Sergio Sciacca, Francesco Musumeci

引用次数: 0

Intraoperative Sternal Elevation for Minimally Invasive Mitral Valve Repair in Severe Pectus Excavatum. 术中胸骨抬高用于重度胸大肌切除术中的微创二尖瓣修复术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-09 DOI: 10.1177/15569845241273569

Sara Ranchordás, Gustavo Woll, Elena Sandoval, Daniel Pereda

引用次数: 0

The 7 Pillars of Proctorship in Robotic Thoracic Surgery: A Blueprint for a Successful Start. 机器人胸腔镜手术的 7 大支柱：成功起步的蓝图。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-09 DOI: 10.1177/15569845241285361

Desmond M D'Souza, Peter J Kneuertz, Danjouma Cheufou

引用次数: 0