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

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

The 10 Commandments for State-of-the-Art Imaging of the Proximal Thoracic Aorta. 胸主动脉近端最新成像十诫》。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-18 DOI: 10.1177/15569845241297993

Marko T Boskovski, Elaine E Tseng

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

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

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

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 : 2024-11-01 Epub Date: 2024-10-29 DOI: 10.1177/15569845241288550

Andre Luiz Tyszka, Alexandro Jose Jorge, Harissa El Ghoz

引用次数: 0

Totally Endoscopic Coronary Artery Bypass Graft: Systematic Review and Meta-Analysis of Reconstructed Patient-Level Data. 完全内窥镜冠状动脉旁路移植术：重建患者层面数据的系统性回顾和 Meta 分析。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.1177/15569845241296530

Ioannis Zoupas, Vasiliki Manaki, Panagiotis T Tasoudis, Nina-Rafailia Karela, Dimitrios V Avgerinos, Konstantinos S Mylonas

{"title":"Totally Endoscopic Coronary Artery Bypass Graft: Systematic Review and Meta-Analysis of Reconstructed Patient-Level Data.","authors":"Ioannis Zoupas, Vasiliki Manaki, Panagiotis T Tasoudis, Nina-Rafailia Karela, Dimitrios V Avgerinos, Konstantinos S Mylonas","doi":"10.1177/15569845241296530","DOIUrl":"10.1177/15569845241296530","url":null,"abstract":"Objective: The standard approach for coronary artery bypass grafting is open surgery. Totally endoscopic coronary artery bypass has emerged as an alternative for selected patients. This meta-analysis sought to evaluate clinical outcomes with this emerging technique.Methods: A PRISMA-compliant search was performed up to December 14, 2022, in PubMed (MEDLINE), Scopus, and Cochrane. Time-to-event data were reconstructed using Kaplan-Meier curves from source literature.Results: A total of 2,774 patients with symptomatic coronary artery disease underwent totally endoscopic coronary artery bypass in 18 eligible studies. The mean patient age was 63.2 ± 12.3 years, and 77.5% (95% confidence interval [CI]: 72.2% to 82.4%) of the included patients were males. The mean operative time was 304.2 ± 155 min, whereas the mean internal mammary artery takedown time was 38.3 ± 18.4 min. Of the patients, 4.7% (95% CI: 1.6% to 9.1%) required conversions to open surgery. The 30-day complication rate was 5.9% (95% CI: 1.2% to 13.1%), whereas late complications developed in 4.8% (95% CI: 1.9% to 8.5%) of the patients. Freedom from major adverse cardiac events was 93.4% (95% CI: 85.3% to 94.8%) and 1-year, 5-year, and 10-year survival rates were 95.2%, 83.2%, and 81.7%, respectively. Reintervention was required in 3.3% (95% CI: 2.3% to 4.4%) of the cohort within a mean follow-up of 42.5 ± 27.8 months.Conclusions: Totally endoscopic coronary artery bypass may be a safe and viable alternative for selected patients with coronary artery disease. Long-term follow-up will help define the place of robotic endoscopic treatment in the armamentarium of myocardial revascularization.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"616-625"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681807","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

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 : 2024-11-01 Epub 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":"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":"633-639"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","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

Innovative Surgical Left Atrial Appendage Closure Technique: Early Experience of Inverted Spiral Closure Technique. 创新的左房阑尾闭合手术技术：倒置螺旋闭合技术的早期经验。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-08 DOI: 10.1177/15569845241288564

Eiki Nagaoka, Hirokuni Arai, Tomohiro Mizuno, Keiji Oi, Tatsuki Fujiwara, Kiyotoshi Oishi, Tomoyuki Fujita

{"title":"Innovative Surgical Left Atrial Appendage Closure Technique: Early Experience of Inverted Spiral Closure Technique.","authors":"Eiki Nagaoka, Hirokuni Arai, Tomohiro Mizuno, Keiji Oi, Tatsuki Fujiwara, Kiyotoshi Oishi, Tomoyuki Fujita","doi":"10.1177/15569845241288564","DOIUrl":"10.1177/15569845241288564","url":null,"abstract":"Objective: Simultaneous closure of the left atrial appendage (LAA) during cardiac procedures has become a common preventive measure against cardiogenic embolic events associated with atrial fibrillation. However, this strategy encounters limitations during minimally invasive mitral valve surgery through a right minithoracotomy because access to the LAA is limited. The use of endocardial sutures for surgical exclusion of the LAA is also well established but has a notable rate of closure failure. We introduced a new surgical LAA closure technique called the inverted spiral closure technique (ISCT).Methods: Between July 2020 and August 2021, 26 patients underwent LAA closure with ISCT concomitant to mitral valve surgery in our hospital. Early postoperative outcomes and any stroke or thromboembolic event during the follow-up were evaluated. Transthoracic or transesophageal echocardiography (TEE) was used to assess LAA patency.Results: The ISCT procedure was performed successfully in all cases. No significant persistent flow between the left atrium and LAA was observed on intraoperative TEE. During a median follow-up of 1.1 years, no patients experienced stroke, myocardial infarction, or death. Postoperative echocardiography showed no significant residual flow within the LAA. One patient was incidentally found to have recanalization between the left atrium and LAA several months after surgery on an enhanced computed tomography scan during coronary evaluation.Conclusions: The ISCT can be performed reliably through the same left atriotomy for mitral valve surgery and is a useful and effective technique for surgical LAA exclusion. There are still not enough patients and modalities for postoperative evaluation.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"656-659"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619451","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

State-of-the-Art Review of Aortic Root Reconstruction: Contemporary Techniques and Challenges. 主动脉根重建的最新进展回顾：当代技术与挑战。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI: 10.1177/15569845241299804

Malak Elbatarny, Abby White, Jennifer C Y Chung, Vincent Chauvette, Ming Guo, Munir Boodhwani, Sabin Bozso, Nader S Aboelnazar, Francois Dagenais, Charles Laurin, Mimi Deng, Mark D Peterson, Matthew Valdis, Michael W A Chu

{"title":"State-of-the-Art Review of Aortic Root Reconstruction: Contemporary Techniques and Challenges.","authors":"Malak Elbatarny, Abby White, Jennifer C Y Chung, Vincent Chauvette, Ming Guo, Munir Boodhwani, Sabin Bozso, Nader S Aboelnazar, Francois Dagenais, Charles Laurin, Mimi Deng, Mark D Peterson, Matthew Valdis, Michael W A Chu","doi":"10.1177/15569845241299804","DOIUrl":"10.1177/15569845241299804","url":null,"abstract":"Aortic root reconstruction operations have undergone substantial evolution with technical modifications, expanding indications, and the need for increasingly complex decision-making. The purpose of this state-of-the-art review is to detail our approach to contemporary aortic root reconstruction operations. First, we review the evolution of root reconstruction procedures over the years and discuss the approach to the aortic root patient for lifetime management of aneurysm and valvular disease in the modern context of management options. We also discuss state-of-the art technical considerations of valve-sparing root replacement, variations of the Ross operation, aortic valve repair principles and challenges in special populations, and considerations for complication-free coronary button reconstruction. We also discuss root reconstruction in high-risk subpopulations including acute type A aortic dissection, congenital, and reoperative patients. We briefly highlight future directions in transcatheter root replacement as well as the outlook for the next generation of aortic root surgeons.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"600-610"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715735","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