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

The Stradivari Violin of Robotic Heart Surgery: The Robotic EndoWrist Stabilizer. 机器人心脏手术的斯特拉迪瓦里小提琴：机器人腕内侧稳定器

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI: 10.1177/15569845241279259

Gianluca Torregrossa, Andrea Amabile, Sarah Nisivaco, Michiel Algoet, Wouter Oosterlinck, Husam H Balkhy

引用次数: 0

Aortic Root Remodeling With External Aortic Annuloplasty via Right Anterior Thoracotomy. 经右前开胸行主动脉外环成形术的主动脉根部重塑。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 DOI: 10.1177/15569845241300471

Brieuc Vanolande, Marie-Catherine Morgant, Olivier Bouchot

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 : 2024-11-01 Epub 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

The 10 Commandments for Valve-Sparing Aortic Root Replacement. 主动脉根部瓣膜置换术的十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI: 10.1177/15569845241298251

Bana Samman, Amine Mazine, Maral Ouzounian

引用次数: 0

Minimally Invasive Video-Assisted Surgery for Concomitant Ascending Aorta and Aortic Valve Replacement via Right Infra-Axillary Thoracotomy. 通过右腋下胸廓切开术进行升主动脉和主动脉瓣同时置换的微创视频辅助手术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 DOI: 10.1177/15569845241285872

Shuwei Wang, Chentao Luo, Bing Zhou, Zhibin Hu, Zhifang Liu, Erlei Han, Changhao Wu, Fuyang Mei, Xiaofeng Lu, Weikang Chen, Zhiqiang Dong, Yong Cui

{"title":"Minimally Invasive Video-Assisted Surgery for Concomitant Ascending Aorta and Aortic Valve Replacement via Right Infra-Axillary Thoracotomy.","authors":"Shuwei Wang, Chentao Luo, Bing Zhou, Zhibin Hu, Zhifang Liu, Erlei Han, Changhao Wu, Fuyang Mei, Xiaofeng Lu, Weikang Chen, Zhiqiang Dong, Yong Cui","doi":"10.1177/15569845241285872","DOIUrl":"10.1177/15569845241285872","url":null,"abstract":"Objective: This study aims to assess the safety, efficacy, and esthetic outcomes of an innovative 4 cm right infra-axillary incision approach for concomitant ascending aorta and aortic valve replacement (AAR and AVR), with a specific focus on achieving optimal surgical outcomes while ensuring minimal visible scarring.Methods: We retrospectively examined all elective cases of concomitant AAR and AVR surgery performed at our institution from July 2021 to June 2023. Exclusions encompassed emergency surgery, acute type A aortic dissection, active aortic valve endocarditis, redo cardiac surgery, the necessity for concurrent mitral valve replacement, or left ventricular assist device implantation. We collected and analyzed perioperative data for the patients.Results: The study comprised 24 consecutive patients. Cardiopulmonary bypass time and aortic cross-clamp time averaged 215.0 (interquartile range [IQR], 38.0) and 158.0 (IQR, 37.0) min, respectively. No instances of reoperation due to postoperative bleeding or need for permanent pacemaker implantation were recorded. Initial 24-h postoperative drainage volume averaged 186.9 ± 76.9 mL. Average follow-up duration was 21.7 ± 6.2 months (range, 5 to 30 months). Throughout short-term follow-up, no occurrences of valve dysfunction, paravalvular leak, cardiovascular events necessitating readmission, or mortality were observed.Conclusions: The right infra-axillary incision approach effectively yields secure, successful, and cosmetically pleasing outcomes for concomitant AAR and AVR. Further research and comparisons are warranted to validate these findings.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"626-632"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564399","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

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 : 2024-11-01 Epub 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":"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":"660-665"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545301","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

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 : 2024-11-01 Epub Date: 2024-10-24 DOI: 10.1177/15569845241288815

Silke Van Genechten, Jade Claessens, Alaaddin Yilmaz

引用次数: 0

Results of Vertical Infra-Axillary Thoracotomy for Total Repair of Tetralogy of Fallot. 垂直腋下胸廓切开术完全修复法洛氏四联症的结果

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 DOI: 10.1177/15569845241278985

Tien Anh Do, Bao Tuan Luong, Tran Thuy Nguyen, Phong Ba Nguyen, Huyen Nhu Thi Luong, Viet Bang Nguyen, Minh Ngoc Le, Duong Ha Thai Nguyen, Thanh Ngoc Le

{"title":"Results of Vertical Infra-Axillary Thoracotomy for Total Repair of Tetralogy of Fallot.","authors":"Tien Anh Do, Bao Tuan Luong, Tran Thuy Nguyen, Phong Ba Nguyen, Huyen Nhu Thi Luong, Viet Bang Nguyen, Minh Ngoc Le, Duong Ha Thai Nguyen, Thanh Ngoc Le","doi":"10.1177/15569845241278985","DOIUrl":"10.1177/15569845241278985","url":null,"abstract":"Objective: To demonstrate the efficacy of minimally invasive surgery via a vertical infra-axillary incision for complete tetralogy of Fallot (TOF) correction.Methods: In a study conducted from April to October 2023, 33 patients with TOF underwent total repair using this approach. On average, the patient age was 5.94 ± 2.68 months, weight was 6.49 ± 0.97 kg, and mean z-score index for the pulmonary valve annulus was -1.38 ± 0.92. Results also highlighted abnormal coronary artery pathways in 18.2% of cases, including 1 patient with dextrocardia and situs inversus.Results: The average incision length was 4.01 ± 0.6 cm, with bypass and clamping times of 95.42 ± 33.19 min and 69.24 ± 28.15 min, respectively. Preservation of the pulmonary valve annulus was achieved in 67% of patients. No postoperative deaths occurred, and there were no significant ventilation differences between groups. After surgery, no severe pulmonary valve regurgitation was observed, with patients remaining in excellent condition throughout the 7-month follow-up. The pulmonary valve pressure gradient after the procedure was 23.97 ± 10.65 mm Hg, and no heart failure cases were reported per the Ross classification at the latest follow-up.Conclusions: The vertical infra-axillary incision approach for total TOF repair is safe, effective, and cosmetically advantageous.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"666-671"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564400","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

Minimally Invasive Repair of Subarterial Ventricular Septal Defect via Left Anterior Thoracotomy and Periareolar Incision. 通过左胸前切口和乳晕周围切口微创修复室间隔下缺损

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI: 10.1177/15569845241296452

Eung Re Kim, Chang-Ha Lee, Jae Hong Lim, Yong-Jin Kim

引用次数: 0

Robot-Assisted Atrial Septal Defect Closure Via the Left Atrium: Dual Case Reports. 机器人辅助经左心房关闭房室隔缺损：双病例报告。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-12 DOI: 10.1177/15569845241296083

Yazan N AlJamal, Hiroto Kitahara, Husam H Balkhy

引用次数: 0